Endovascular treatment of type Baortic dissection

Andrea C. Cooley, J. Michael Dimaio, Frank R. Arko

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Endovascular technology and techniques are being rapidly applied to patients with acute and chronic dissections despite being an off-label indication. Multiple studies have shown morbidity and mortality benefit when comparing short- and midterm outcomes between open and endovascular repair. The goal with TEVAR, which is accomplished in greater than 90 %, is to cover the proximal intimomedial tear and reestablish preferential antegrade flow to the true lumen. This allows thrombosis of the false lumen in 80–95 %, decreased false lumen diameter in 79 %, and true lumen expansion in 66 %. Although TEVAR provides an effective repair with superior risk profile when compared with open repair, the rate of reintervention can reach 60 % due to endoleak, stent migration, stent-graft collapse, material fatigue, or propagation of the dissection. This chapter presents the endovascular treatment of type B aortic dissections.

Original languageEnglish (US)
Title of host publicationEndovascular Interventions: A Case-Based Approach
PublisherSpringer New York
Pages223-242
Number of pages20
ISBN (Print)9781461473121, 9781461473114
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Medicine(all)

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    Cooley, A. C., Michael Dimaio, J., & Arko, F. R. (2014). Endovascular treatment of type Baortic dissection. In Endovascular Interventions: A Case-Based Approach (pp. 223-242). Springer New York. https://doi.org/10.1007/978-1-4614-7312-1_18