Acute type B aortic dissection: update on proper management

This study aims to collect and present all current literature data on the diagnostic and therapeutic management of acute type B aortic dissection. It includes a comprehensive literature search utilizing the following keywords: ‘acute aortic dissection’, ‘type B aortic dissection’, ‘conservative mana...

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Main Authors: Georgios Geropapas, George Galyfos
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Acute Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2221618914600585
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author Georgios Geropapas
George Galyfos
author_facet Georgios Geropapas
George Galyfos
author_sort Georgios Geropapas
collection DOAJ
description This study aims to collect and present all current literature data on the diagnostic and therapeutic management of acute type B aortic dissection. It includes a comprehensive literature search utilizing the following keywords: ‘acute aortic dissection’, ‘type B aortic dissection’, ‘conservative management’, ‘endovascular repair’, ‘open surgery’ and ‘diagnosis’. Uncomplicated acute type B aortic dissection can be effectively managed using conservative management, although open repair is indicated only for complicated cases. Endovascular repair shows promising results in selected patients with increased perioperative risk and without contraindications. Recent evidence supports endovascular repair even in uncomplicated cases, although more data on long-term outcomes are needed. Early risk stratification and evaluation of the patient is crucial for selection of optimal management.
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spelling doaj.art-6bc41a7c9fe8422196baa88458eb74e82022-12-22T01:40:20ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892014-01-013425826410.1016/S2221-6189(14)60058-5Acute type B aortic dissection: update on proper managementGeorgios GeropapasGeorge GalyfosThis study aims to collect and present all current literature data on the diagnostic and therapeutic management of acute type B aortic dissection. It includes a comprehensive literature search utilizing the following keywords: ‘acute aortic dissection’, ‘type B aortic dissection’, ‘conservative management’, ‘endovascular repair’, ‘open surgery’ and ‘diagnosis’. Uncomplicated acute type B aortic dissection can be effectively managed using conservative management, although open repair is indicated only for complicated cases. Endovascular repair shows promising results in selected patients with increased perioperative risk and without contraindications. Recent evidence supports endovascular repair even in uncomplicated cases, although more data on long-term outcomes are needed. Early risk stratification and evaluation of the patient is crucial for selection of optimal management.http://www.sciencedirect.com/science/article/pii/S2221618914600585Acute aortic dissectionType B aortic dissectionConservative managementEndovascular repair
spellingShingle Georgios Geropapas
George Galyfos
Acute type B aortic dissection: update on proper management
Journal of Acute Disease
Acute aortic dissection
Type B aortic dissection
Conservative management
Endovascular repair
title Acute type B aortic dissection: update on proper management
title_full Acute type B aortic dissection: update on proper management
title_fullStr Acute type B aortic dissection: update on proper management
title_full_unstemmed Acute type B aortic dissection: update on proper management
title_short Acute type B aortic dissection: update on proper management
title_sort acute type b aortic dissection update on proper management
topic Acute aortic dissection
Type B aortic dissection
Conservative management
Endovascular repair
url http://www.sciencedirect.com/science/article/pii/S2221618914600585
work_keys_str_mv AT georgiosgeropapas acutetypebaorticdissectionupdateonpropermanagement
AT georgegalyfos acutetypebaorticdissectionupdateonpropermanagement