Key result
Medical and endovascular techniques for treating acute aortic dissection are reviewed in depth, alongside a discussion of pathogenesis and etiology.
This review highlights the paradigm shift in treating acute aortic dissection, emphasizing the growing role of endovascular techniques and improved stent graft technology.
Synthesizes current medical and endovascular options for acute aortic dissection; leaves open the need for prospective trials to guide practice.
Acute dissection of the thoracic aorta is a potentially life-threatening condition which requires collaborative treatment from multiple specialties for optimal patient outcomes. Dissections involving the ascending aorta and aortic arch have traditionally been managed entirely by surgery, while dissections beyond the arch vessels have most commonly been relegated to medical management. This algorithm has been undergoing a paradigm shift over the past two decades due to improvements in stent graft technology, better understanding of the hemodynamic interactions of the true and false lumen and their influence on organ and limb perfusion, and improvements in medical management and long term surveillance for dissection-related complications. This manuscript includes a brief discussion of the pathogenesis and etiology of dissection, followed by an in-depth review of the medical and endovascular techniques utilized to treat patients afflicted by this condition.
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Khayat et al. (2018) conducted a review in Acute aortic dissection. Medical and endovascular techniques was evaluated. Medical and endovascular techniques for treating acute aortic dissection are reviewed in depth, alongside a discussion of pathogenesis and etiology.
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