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10.5606/tgkdc.dergisi.2011.07Suppl2
Endovascular management of acute complicated type B aortic diss ection
Furuzan Numan1, Fatih Gülşen1, Harun Arbatlı2, Oğuz Yılmaz3, Serdar Solak1
1İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Radyoloji Anabilim Dalı, İstanbul
2Maltepe Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul
3Memorial Hastanesi Kalp ve Damar Cerrahisi Bölümü, İstanbul
DOI : 10.5606/tgkdc.dergisi.2011.07Suppl2
Aortic dissection represents the most common aortic
pathology requiring emergency treatment, and is still
associated with a high mortality. In uncomplicated acute
type B dissections, medical therapy results in an in-hospital
survival rate of 90%, while complicated acute type B
dissection is still a challenging clinical entity. Advances
in endovascular technology have provided new treatment
options. Endovascular treatment offers an exciting potential
in the management of complicated type B dissection
through sealing of the intimal tear area. Endovascular
approach offers a less invasive mode of therapy for this
high-risk group of patients by eliminating the necessity
for thoracotomy, single-lung ventilation, and aortic crossclamping.
This article aims to review the basics and results
of endovascular treatment in the literature in patients with
acute complicated type B aortic dissection.
Keywords : Acute disease; aneurysm, dissecting/radiography; chronic aortic dissection
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