Journal of Vascular Surgery
Volume 49, Issue 3 , Pages 561-566 , March 2009

Early outcomes after endovascular management of acute, complicated type B aortic dissection

Presented at the Society for Vascular Surgery Annual Meeting, San Diego, Calif, Jun 5-8, 2008.

  • Robert J. Feezor, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • Tomas D. Martin, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • Philip J. Hess Jr, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • Thomas M. Beaver, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • Charles T. Klodell, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • W. Anthony Lee, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, Fla
    • Corresponding Author InformationCorrespondence: W. Anthony Lee, MD, Division of Vascular Surgery and Endovascular Therapy, 1600 SW Archer Rd, Ste NG-45, PO Box 100286, Gainesville, FL 32610-0286

Received 21 May 2008 ,Accepted 17 September 2008.

References 

  1. Mészáros I, Mórocz J, Szlávi J, Schmidt J, Tornóci L, Nagy L, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117:1271–1278
  2. Tsai TT, Fattori R, Trimarchi S, Isselbacher E, Myrmel T, Evangelista A, et al. Long-term survival in patients presenting with type B acute aortic dissection: insights from the International Registry of Acute Aortic Dissection. Circulation. 2006;114:2226–2231
  3. Atkins MD, Black JH, Cambria RP. Aortic dissection: perspectives in the era of stent-graft repair. J Vasc Surg. 2006;43(suppl A):30A–43A
  4. Xu SD, Huang FJ, Yang JF, Li ZZ, Wang XY, Zhang ZG, et al. Endovascular repair of acute type B aortic dissection: early and mid-term results. J Vasc Surg. 2006;43:1090–1095
  5. Pradhan S, Elefteriades JA, Sumpio BE. Utility of the aortic fenestration technique in the management of acute aortic dissections. Ann Thorac Cardiovasc Surg. 2007;13:296–300
  6. Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Coselli JS, Curi MA, et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg. 2008;85:S1–S41
  7. Golledge J, Eagle KA. Acute aortic dissection. Lancet. 2008;372:55–66
  8. Kato N, Shimono T, Hirano T, Ishida M, Yada I, Takeda K. Transluminal placement of endovascular stent-grafts for the treatment of type A aortic dissection with an entry tear in the descending thoracic aorta. J Vasc Surg. 2001;34:1023–1028
  9. Coady MA, Rizzo JA, Elefteriades JA. Pathologic variants of thoracic aortic dissections (Penetrating atherosclerotic ulcers and intramural hematomas). Cardiol Clin. 1999;17:637-7
  10. Evangelista A, Mukherjee D, Mehta RH, O'Gara PT, Fattori R, Cooper JV, et al. Acute intramural hematoma of the aorta: a mystery in evolution. Circulation. 2005;111:1063–1070
  11. Nienaber CA, von Kodolitsch Y, Petersen B, Loose R, Helmchen U, Haverich A, et al. Intramural hemorrhage of the thoracic aorta (Diagnostic and therapeutic implications). Circulation. 1995;92:1465–1472
  12. Vilacosta I, San Roman JA, Ferreiros J, Aragoncillo P, Méndez R, Castillo JA, et al. Natural history and serial morphology of aortic intramural hematoma: a novel variant of aortic dissection. Am Heart J. 1997;134:495–507
  13. Kpodonu J, Preventza O, Ramaiah VG, Shennib H, Wheatley GH, Rodriquez-Lopez J, et al. Retrograde type A dissection after endovascular stenting of the descending thoracic aorta (Is the risk real?). Eur J Cardiothorac Surg. 2008;33:1014–1018
  14. Neuhauser B, Czermak BV, Fish J, Perkmann R, Jaschke W, Chemelli A, et al. Type A dissection following endovascular thoracic aortic stent-graft repair. J Endovasc Ther. 2005;12:74–81
  15. Acosta S, Blomstrand D, Gottsater A. Epidemiology and long-term prognostic factors in acute type B aortic dissection. Ann Vasc Surg. 2007;21:415–422
  16. Böckler D, Schumacher H, Ganten M, von Tengg-Kobligk H, Schwarzbach M, Fink C, et al. Complications after endovascular repair of acute symptomatic and chronic expanding Stanford type B aortic dissections. J Thorac Cardiovasc Surg. 2006;132:361–368
  17. Dake MD, Kato N, Mitchell RS, Semba CP, Razavi MK, Shimono T, et al. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med. 1999;340:1546–1552
  18. Duebener LF, Lorenzen P, Richardt G, Misfeld M, Nötzold A, Hartmann F, et al. Emergency endovascular stent-grafting for life-threatening acute type B aortic dissections. Ann Thorac Surg. 2004;78:1261–1266
  19. Eggebrecht H, Nienaber CA, Neuhäuser M, Baumgart D, Kische S, Schmermund A, et al. Endovascular stent-graft placement in aortic dissection: a meta-analysis. Eur Heart J. 2006;27:489–498
  20. Verhoye JP, Miller DC, Sze D, Dake MD, Mitchell RS. Complicated acute type B aortic dissection: midterm results of emergency endovascular stent-grafting. J Thorac Cardiovasc Surg. 2008;136:424–430
  21. Akutsu K, Nejima J, Kiuchi K, Sasaki K, Ochi M, Tanaka K, et al. Effects of the patent false lumen on the long-term outcome of type B acute aortic dissection. Eur J Cardiothorac Surg. 2004;26:359–366
  22. Barnes DM, Williams DM, Dasika NL, Patel HJ, Weder AB, Stanley JC, et al. A single-center experience treating renal malperfusion after aortic dissection with central aortic fenestration and renal artery stenting. J Vasc Surg. 2008;47:903–910
  23. Slonim SM, Miller DC, Mitchell RS, Semba CP, Razavi MK, Dake MD. Percutaneous balloon fenestration and stenting for life-threatening ischemic complications in patients with acute aortic dissection. J Thorac Cardiovasc Surg. 1999;117:1118–1126
  24. Lauterbach SR, Cambria RP, Brewster DC, Gertler JP, Lamuraglia GM, Isselbacher EM, et al. Contemporary management of aortic branch compromise resulting from acute aortic dissection. J Vasc Surg. 2001;33:1185–1192

 Competition of interest: none.

PII: S0741-5214(08)01797-7

doi: 10.1016/j.jvs.2008.09.071

Journal of Vascular Surgery
Volume 49, Issue 3 , Pages 561-566 , March 2009

Article Tools

* Image Usage & Resolution