Contemporary Management of Acute Aortic Dissection
- 1 June 2003
- journal article
- review article
- Published by SAGE Publications in Journal of Endovascular Therapy
- Vol. 10 (3) , 476-485
- https://doi.org/10.1177/152660280301000312
Abstract
The development of endovascular techniques has introduced a new dimension to the management of acute aortic dissection. Conventional therapy has traditionally been relegated to patients who experience severe clinical sequelae; unfortunately, clinicians have not been able to accurately predict the clinical consequences of a dissection. However, recent attention to true and false lumen characteristics, the distal extent of the dissection, and branch vessel involvement has demonstrated that these independent predictors of outcome can serve as surrogate indications for endovascular or surgical treatment. We review the path-ophysiological mechanisms associated with the sequelae of aortic dissection and summarize the treatment paradigms we have developed.Keywords
This publication has 25 references indexed in Scilit:
- Endovascular Stent–Graft Placement for the Treatment of Acute Aortic DissectionNew England Journal of Medicine, 1999
- Nonsurgical Reconstruction of Thoracic Aortic Dissection by Stent–Graft PlacementNew England Journal of Medicine, 1999
- Risk factors for rupture of chronic type B dissectionsThe Journal of Thoracic and Cardiovascular Surgery, 1999
- Wall stress as a possible mechanism for the development of transverse intimal tears in aortic dissectionsJournal of Medical Engineering & Technology, 1999
- Determining Surgical Indications for Acute Type B Dissection Based on Enlargement of Aortic Diameter During the Chronic PhaseCirculation, 1995
- Treatment of Aortic Dissections with a Percutaneous Intravascular Endoprosthesis: Comparison of Covered and Bare StentsJournal of Vascular and Interventional Radiology, 1994
- Treatment of Acute Aortic Dissections with Expandable Metallic Stents: Experimental StudyJournal of Vascular and Interventional Radiology, 1994
- Intravascular Stenting of Acute Experimental Type B DissectionsJournal of Surgical Research, 1993
- Long-term experience with descending aortic dissection: The complication-specific approachThe Annals of Thoracic Surgery, 1992
- Maximal coronary flow and the concept of coronary vascular reserve.Circulation, 1984