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...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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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. |
first_indexed | 2024-12-10T17:10:44Z |
format | Article |
id | doaj.art-6bc41a7c9fe8422196baa88458eb74e8 |
institution | Directory Open Access Journal |
issn | 2221-6189 |
language | English |
last_indexed | 2024-12-10T17:10:44Z |
publishDate | 2014-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Acute Disease |
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 |