Abstract:
:Aortic dissection represents the most common aortic emergency, affecting 3 to 4 per 100,000 people per year and is still associated with a high mortality. Twenty percent of the patients with aortic dissection die before reaching hospital and 30% die during hospital admission. Aortic dissections may be classified in 3 ways: according to their anatomical extent (the Stanford or DeBakey systems), according to the time from onset (acute or chronic), and according to the underlying pathology (the European Society of Cardiologists' system). Advances in endovascular technology have provided new treatment options. Hybrid endovascular and conventional open surgical repair represent the mainstay of treatment for acute type A dissection. Medical management remains the gold standard for acute and uncomplicated chronic type B dissection, though endovascular surgery offers exciting potential in the management of complicated type B dissection through sealing of the intimal entry tear.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Karthikesalingam A,Holt PJ,Hinchliffe RJ,Thompson MM,Loftus IMdoi
10.1177/1538574410362118subject
Has Abstractpub_date
2010-04-01 00:00:00pages
165-9issue
3eissn
1538-5744issn
1938-9116pii
44/3/165journal_volume
44pub_type
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