Key result
Review compares central versus alternative endovascular techniques for acute complicated type B aortic dissection repair.
Why the study?
Current guidelines dictate emergency repair for acute complicated TBAD, prompting a comparison of central aortic repair versus alternative endovascular repair techniques and indications for technique selection.
How do alternative endovascular techniques compare to central aortic repair in the management of acute complicated type B aortic dissection?
How do alternative endovascular techniques compare to central aortic repair in the management of acute complicated type B aortic dissection?
This review outlines and compares central aortic repair with alternative endovascular techniques for the acute management of complicated type B aortic dissection.
Guidelines recommend emergency repair for acute complicated TBAD; review leaves open optimal endovascular versus open strategy selection.
Current guidelines dictate emergency repair for an acute complicated type B aortic dissection (TBAD). Surgical approaches for the treatment of acute complicated TBAD can be divided into open and endovascular. The endovascular approach is further divided into central aortic repair and alternative endovascular techniques. Central repair includes endoluminal aortic stent graft repair, such as thoracic endovascular aortic aneurysm repair and provisional extension to induce complete attachment, extended provisional extension to induce complete attachment and stent-assisted balloon-induced intimal disruption and re-lamination in aortic dissection repair techniques. Alternative endovascular techniques include reno-visceral stenting, endovascular aortic membrane fenestration and targeted false lumen thrombosis. This review discusses and compares the various endovascular approaches to repair of acute complicated TBAD, focusing on central versus alternative endovascular techniques. We also discuss indications for technique selection, focusing on the acute management of complicated TBAD.
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Kavousi et al. (2023) conducted a review in Acute complicated type B aortic dissection (TBAD). Alternative endovascular techniques vs. Central aortic repair was evaluated. This review compares central versus alternative endovascular techniques for the repair of acute complicated type B aortic dissection and discusses indications for technique selection.
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