Behandlungsstrategien der chronischen Typ-B-Aortendissektion
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Behandlungsstrategien der chronischen Typ-B-Aortendissektion. / Rohlffs, F.; Tsilimparis, N.; Stoberock, K.; Debus, E. S.; Kölbel, T.
In: GEFASSCHIRURGIE, Vol. 20, No. 6, 01.10.2015, p. 435-440.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Behandlungsstrategien der chronischen Typ-B-Aortendissektion
AU - Rohlffs, F.
AU - Tsilimparis, N.
AU - Stoberock, K.
AU - Debus, E. S.
AU - Kölbel, T.
N1 - Publisher Copyright: © 2015, Springer-Verlag Berlin Heidelberg.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Background: Chronic Type B aortic dissection is a complex disease that needs individual treatment strategies and different considerations than therapy of acute or subacute Type B aortic dissection. Indications for therapy are mainly derived from persistent false lumen perfusion with aneurysm formation. Another challenge for the treatment of chronic Type B aortic dissection is the increasing rigidity and thickness of the dissection membrane, which reduces the aortic remodeling capacity. Objective: This article gives an overview of chronic Type B aortic dissection and summarizes current treatment strategies in regard to conservative, open surgical and especially endovascular approaches. Material and methods: Evaluation of the current literature with respect to treatment strategies for chronic Type B aortic dissection as well as descriptions of new endovascular techniques. Results: Endovascular techniques are becoming more important for the treatment of chronic Type B aortic dissection, especially in multimorbid patients. False lumen occlusion plays an important role in treatment success. Conclusion: Chronic Type B aortic dissection is a challenging disease as the pathology is associated with several features which make standard thoracic endovascular aortic repair (TEVAR) procedures barely sufficient. The rapid development in endovascular techniques provides new directions for the treatment of this disease.
AB - Background: Chronic Type B aortic dissection is a complex disease that needs individual treatment strategies and different considerations than therapy of acute or subacute Type B aortic dissection. Indications for therapy are mainly derived from persistent false lumen perfusion with aneurysm formation. Another challenge for the treatment of chronic Type B aortic dissection is the increasing rigidity and thickness of the dissection membrane, which reduces the aortic remodeling capacity. Objective: This article gives an overview of chronic Type B aortic dissection and summarizes current treatment strategies in regard to conservative, open surgical and especially endovascular approaches. Material and methods: Evaluation of the current literature with respect to treatment strategies for chronic Type B aortic dissection as well as descriptions of new endovascular techniques. Results: Endovascular techniques are becoming more important for the treatment of chronic Type B aortic dissection, especially in multimorbid patients. False lumen occlusion plays an important role in treatment success. Conclusion: Chronic Type B aortic dissection is a challenging disease as the pathology is associated with several features which make standard thoracic endovascular aortic repair (TEVAR) procedures barely sufficient. The rapid development in endovascular techniques provides new directions for the treatment of this disease.
KW - Aorta
KW - Aortic aneurysm
KW - Aortic dissection
KW - Endovascular techniques
KW - Endovascular therapy
UR - http://www.scopus.com/inward/record.url?scp=84943664646&partnerID=8YFLogxK
U2 - 10.1007/s00772-015-0074-x
DO - 10.1007/s00772-015-0074-x
M3 - SCORING: Zeitschriftenaufsatz
AN - SCOPUS:84943664646
VL - 20
SP - 435
EP - 440
JO - GEFASSCHIRURGIE
JF - GEFASSCHIRURGIE
SN - 0948-7034
IS - 6
ER -