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Diagnosis and treatment of uncomplicated type B aortic dissection.
- Source :
- Vascular Medicine; Dec2016, Vol. 21 Issue 6, p547-552, 6p
- Publication Year :
- 2016
-
Abstract
- A type B dissection involves the aorta distal to the subclavian artery, and accounts for 25–40% of aortic dissections. Approximately 75% of these are uncomplicated with no malperfusion or ischemia. Multiple consensus statements recommend thoracic endovascular aortic repair (TEVAR) as the treatment of choice for acute complicated type B aortic dissections, while uncomplicated type B dissections are traditionally treated with medical management alone, including strict blood pressure control, as open repairs have a prohibitively high morbidity of up to 31%. However, with medical treatment alone, the morbidity, including aneurysm degeneration of the affected segment, is 30%, and mortality is 10% over 5 years. For both chronic and acute uncomplicated type B aortic dissections, emerging evidence supports the use of both best medical therapy and TEVAR. This paper reviews the current diagnosis and treatment of uncomplicated type B aortic dissections. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 1358863X
- Volume :
- 21
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Vascular Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 119843459
- Full Text :
- https://doi.org/10.1177/1358863X16643601