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Debate: Whether level I evidence comparing thoracic endovascular repair and medical management is necessary for uncomplicated type B aortic dissections.

Abstract：

:Type B aortic dissections continue to be one of the most challenging clinical scenarios confronting vascular surgeons. In the era of open surgery, the therapeutic options were limited to medical management of hypertension and large open thoracoabdominal operations. In the current endovascular era, the operative strategies have become less invasive but the questions regarding therapeutic approaches have become more numerous and complex. In patients with acute uncomplicated type B aortic dissections, we are still unsure as to which patients are best treated with medical therapy alone or with the addition of early endovascular repair. Data from single centers and registries have provided some guidance; however, questions remain. Perhaps level 1 evidence from well-designed randomized controlled trials will answer all of our questions. This is the topic of the current debate.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Brunkwall J,Lübke T,Power AH,Forbes TL

doi

10.1016/j.jvs.2013.06.023

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

836-41

issue

3

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(13)01165-8

journal_volume

58

pub_type

杂志文章

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