Primary Tear Distance From Left Subclavian Artery Predicts Growth in Chronic Type B Aortic Dissection

Codner, Jesse; Lou, Xiaoying; Duwayri, Yazan; Jordan, William D.; Chen, Edward P.; Leshnower, Bradley G.

doi:10.1016/j.jvs.2017.10.018

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“…Additionally, a FL diameter of >22 mm and the location of the FL on the greater curve of the aorta have also been shown to be predictive of aneurysm growth (38)(39)(40). Studies attempting to characterize the primary intimal tear have suggested that size ≥10 mm or location in close proximity to the left subclavian artery in Zone 3 are independent predictors of aneurysm formation (28,40). Despite this progress, there is no single radiographic feature that reliably predicts aortic growth and death.…”

Section: Management Of Uncomplicated Tbad: Evolving Role Of Tevar and Ongoing Areas Of Controversymentioning

confidence: 99%

Role of thoracic endovascular aortic repair in the management of acute type B aortic dissection

Lou¹,

Leshnower²

2021

J Vis Surg

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Thoracic endovascular aortic repair (TEVAR) is the optimal therapy for the treatment of complicated acute type B aortic dissection (aTBAD). Numerous studies have confirmed its efficacy in improving early survival and minimizing the risk of adverse events compared to alternative treatments.Moreover, growing evidence demonstrates its ability to remodel the aorta, improve aortic-specific survival, and decrease the need for aortic re-interventions at long-term follow-up. While uncomplicated aTBAD has traditionally been managed with optimal medical therapy (OMT), there is an increasing amount of data to suggest that OMT is a poor strategy for the treatment of TBAD in the chronic phase. Several recent studies have demonstrated that a significant number of patients with uncomplicated aTBAD treated with OMT require aortic intervention in the chronic phase due to aneurysmal degeneration of the false lumen (FL).Therefore, TEVAR has been increasingly proposed as an alternative therapy for patients with uncomplicated aTBAD, especially in patients with high-risk features. In this article, we summarize the most recent data regarding short-and long-term outcomes of TEVAR in complicated aTBAD that have established TEVAR as the standard of care for this presentation. Additionally, we address the unresolved issues in the management of uncomplicated aTBAD including the evolving use of TEVAR for this cohort of patients.

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Section: Management Of Uncomplicated Tbad: Evolving Role Of Tevar and Ongoing Areas Of Controversymentioning

confidence: 99%

Role of thoracic endovascular aortic repair in the management of acute type B aortic dissection

Lou¹,

Leshnower²

2021

J Vis Surg

Self Cite

View full text Add to dashboard Cite

show abstract

Primary Tear Distance From Left Subclavian Artery Predicts Growth in Chronic Type B Aortic Dissection

Cited by 1 publication

References 0 publications

Role of thoracic endovascular aortic repair in the management of acute type B aortic dissection

Role of thoracic endovascular aortic repair in the management of acute type B aortic dissection

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