Key result
Endovascular techniques of stenting, stent-grafting, and fenestration offer encouraging alternatives to surgery with reduced morbidity for aortic dissection, though they are in early evaluation.
Why the study?
Do endovascular techniques reduce morbidity compared to conventional surgery in patients with descending aortic dissection?
Do endovascular techniques reduce morbidity compared to conventional surgery in patients with descending aortic dissection?
Endovascular techniques such as stenting and fenestration represent promising, lower-morbidity alternatives to conventional surgery for descending aortic dissections.
Endovascular techniques may lower morbidity in descending aortic dissection; leaves open need for randomized trials versus surgery.
Aortic dissection is a significant cause of mortality and morbidity. Mortality may result from cardiac tamponade, rupture or branch vessel ischaemia. The most widely accepted classification is the Stanford classification. Stanford type A dissections are conventionally treated by surgery, type B by medical therapy if uncomplicated or by surgery if complicated. Surgical morbidity and mortality may be high. Accurate diagnosis is essential. Endovascular techniques of stenting, stent-grafting and fenestration offer encouraging alternatives to surgery with much reduced morbidity. Endovascular techniques are in the early phase of development and evaluation.
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P.A. Gaines (2001) conducted a review in Aortic dissection. Endovascular techniques (stenting, stent-grafting, fenestration) vs. Surgery was evaluated. Endovascular techniques of stenting, stent-grafting, and fenestration offer encouraging alternatives to surgery with reduced morbidity for aortic dissection, though they are in early evaluation.
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