TEVAR for chronic aortic dissection - is covering the primary entry tear enough?
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TEVAR for chronic aortic dissection - is covering the primary entry tear enough? / Kölbel, T; Tsilimparis, N; Wipper, S; Larena-Avellaneda, A; Diener, H; Carpenter, S W; Debus, E S.
In: J CARDIOVASC SURG, Vol. 55, No. 4, 08.2014, p. 519-527.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - TEVAR for chronic aortic dissection - is covering the primary entry tear enough?
AU - Kölbel, T
AU - Tsilimparis, N
AU - Wipper, S
AU - Larena-Avellaneda, A
AU - Diener, H
AU - Carpenter, S W
AU - Debus, E S
PY - 2014/8
Y1 - 2014/8
N2 - Treatment-strategies for type B aortic dissection (TBAD) are rapidly developing towards endovascular treatment strategies. While TEVAR for acute TBAD shows favourable results, TEVAR in chronic TBAD following the same interventional strategies as in acute TBAD by covering the proximal entry-tear alone has shown unsatisfactory results with one third of the patients developing further false-lumen growth and mortality of 36% at 3 years. This review article describes endovascular strategies and adjunctive techniques to prevent distal false-lumen back-flow in patients with chronic TBAD, as covering the proximal entry tear has proven insufficient.
AB - Treatment-strategies for type B aortic dissection (TBAD) are rapidly developing towards endovascular treatment strategies. While TEVAR for acute TBAD shows favourable results, TEVAR in chronic TBAD following the same interventional strategies as in acute TBAD by covering the proximal entry-tear alone has shown unsatisfactory results with one third of the patients developing further false-lumen growth and mortality of 36% at 3 years. This review article describes endovascular strategies and adjunctive techniques to prevent distal false-lumen back-flow in patients with chronic TBAD, as covering the proximal entry tear has proven insufficient.
KW - Aneurysm, Dissecting/diagnosis
KW - Aortic Aneurysm, Thoracic/diagnosis
KW - Aortography/methods
KW - Blood Vessel Prosthesis Implantation/adverse effects
KW - Chronic Disease
KW - Embolization, Therapeutic
KW - Endovascular Procedures/adverse effects
KW - Hemodynamics
KW - Humans
KW - Regional Blood Flow
KW - Tomography, X-Ray Computed
KW - Treatment Outcome
M3 - SCORING: Review article
C2 - 24918196
VL - 55
SP - 519
EP - 527
JO - J CARDIOVASC SURG
JF - J CARDIOVASC SURG
SN - 0021-9509
IS - 4
ER -