Temporal and Morphological Patterns Predict Outcome of Endovascular Repair in Acute Complicated Type B Aortic Dissection

Abstract

All the early deaths demonstrated a FLA >50% of the total aortic cross sectional area at the level of the tracheal bifurcation. Patients needing urgent TEVAR had markedly worse outcome. The first finding may become an additional tool for future risk stratification.

The Society of Thoracic Surgeons/American Association for Thoracic Surgery Clinical Practice Guidelines on the Management of Type B Aortic Dissection

“…39 Optimal timing of TEVAR for patients with TBAD should be individualized according to the presenting or evolving clinical and/or radiologic features. 125 According to IRAD, patients with Marfan syndrome represent <5% of all patients with acute aortic dissection, including 4% of acute TBAD. 24 The risk of retrograde TAAD during or after TEVAR for TBAD is reportedly higher in Marfan patients.…”

The Society of Thoracic Surgeons/American Association for Thoracic Surgery clinical practice guidelines on the management of type B aortic dissection

“…39 Optimal timing of TEVAR for patients with TBAD should be individualized according to the presenting or evolving clinical and/or radiologic features. 125…”

One year on: Test your knowledge from the previous year

“…Which of the following is not regarded as a common complication acute type B aortic dissection? 5 A 9. Which of the following statements is true regarding the radiation dose delivered during EVAR?…”