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Acute type B aortic dissection: current management strategies.
MedLine Citation:
PMID:  21822138     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: Endovascular techniques are increasingly employed to treat patients with acute and chronic diseases of the thoracic aorta. This review focuses on current indication and results of thoracic endovascular stent-graft repair in patients with acute type B aortic dissection. RECENT FINDINGS: In patients with type B acute dissections, endovascular treatment should be considered in the presence of complications such as impending rupture, malperfusion, aneurysmal expansion, and uncontrolled pain or blood pressure. No data exist showing improved outcomes after prophylactic endovascular repair of uncomplicated acute dissections. Thus, primary treatment of asymptomatic patients remains medical. SUMMARY: Endovascular stent-graft repair of complicated type B acute dissection is associated with favorable short-term and mid-term results. Longer-term follow-up is warranted to assess its durability and potential progression of the disease at the downstream aorta.
Authors:
Rossella Fattori; Giangaspare Mineo; Marco Di Eusanio
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-8-4
Journal Detail:
Title:  Current opinion in cardiology     Volume:  -     ISSN:  1531-7080     ISO Abbreviation:  -     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-8-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Cardiovascular Radiology and Cardiac Surgery, Cardio-Thoraco-Vascular Department, S. Orsola-Malpighi University Hospital, Bologna, Italy.
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