ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
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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