Endovascular Management of Chronic Type B Aortic Dissection

Anatoly Loskutov; Monica Cooley; Matthew Scheidt; Neel Mansukhani; Joseph Hart; Robert A. Hieb; Peter J. Rossi; Parag J. Patel

doi:10.1016/j.tvir.2021.100752

Endovascular Management of Chronic Type B Aortic Dissection

Anatoly Loskutov, Monica Cooley, Matthew Scheidt, Neel Mansukhani, Joseph Hart, Robert A. Hieb, Peter J. Rossi, Parag J. Patel^*

^*Corresponding author for this work

Surgery, Vascular Surgery Division

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Acute uncomplicated type B aortic dissection (aTBAD) is often treated non operatively, with medical management primarily focused on blood pressure and heart rate control. After a 3 month period following the initial diagnosis, the dissection is considered chronic. Frequent clinical and imaging follow-up is performed to evaluate for dissection stability, aneurysmal degeneration, and visceral malperfusion, which would represent indication for surgical or endovascular repair. In this article we discuss four cases of chronic type B aortic dissection (cTBAD) managed with thoracic endovascular aortic repair (TEVAR) and varying techniques.

Original language	English (US)
Article number	100752
Journal	Techniques in Vascular and Interventional Radiology
Volume	24
Issue number	2
DOIs	https://doi.org/10.1016/j.tvir.2021.100752
State	Published - Jun 2021

Keywords

TEVAR
chronic type B aortic dissection
endovascular interventions
false lumen

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Radiology Nuclear Medicine and imaging

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10.1016/j.tvir.2021.100752

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title = "Endovascular Management of Chronic Type B Aortic Dissection",

abstract = "Acute uncomplicated type B aortic dissection (aTBAD) is often treated non operatively, with medical management primarily focused on blood pressure and heart rate control. After a 3 month period following the initial diagnosis, the dissection is considered chronic. Frequent clinical and imaging follow-up is performed to evaluate for dissection stability, aneurysmal degeneration, and visceral malperfusion, which would represent indication for surgical or endovascular repair. In this article we discuss four cases of chronic type B aortic dissection (cTBAD) managed with thoracic endovascular aortic repair (TEVAR) and varying techniques.",

keywords = "TEVAR, chronic type B aortic dissection, endovascular interventions, false lumen",

author = "Anatoly Loskutov and Monica Cooley and Matthew Scheidt and Neel Mansukhani and Joseph Hart and Hieb, {Robert A.} and Rossi, {Peter J.} and Patel, {Parag J.}",

note = "Funding Information: Disclosures:PJR: Silk Road Medical – Scientific Advisory Board and consultant; Terumo Aortic – Scientific Advisory Board and consultant, research funding, speaker bureau; Endospan – Data Safety Monitoring Board; Gore Medical – research funding. RAV: Medtronic – Medical Advisory Board; Siemens—Research support. PJP: Medtronic- Medical Advisory Board; Boston Scientific - Medical Advisory Board, speaker; Penumbra - consultant, speaker; Cordis – Medical Advisory Board. All other authors have no relevant disclosures. Publisher Copyright: {\textcopyright} 2021 Elsevier Inc.",

year = "2021",

month = jun,

doi = "10.1016/j.tvir.2021.100752",

language = "English (US)",

volume = "24",

journal = "Techniques in Vascular and Interventional Radiology",

issn = "1089-2516",

publisher = "W.B. Saunders",

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AU - Loskutov, Anatoly

AU - Cooley, Monica

AU - Scheidt, Matthew

AU - Mansukhani, Neel

AU - Hart, Joseph

AU - Hieb, Robert A.

AU - Rossi, Peter J.

AU - Patel, Parag J.

N1 - Funding Information: Disclosures:PJR: Silk Road Medical – Scientific Advisory Board and consultant; Terumo Aortic – Scientific Advisory Board and consultant, research funding, speaker bureau; Endospan – Data Safety Monitoring Board; Gore Medical – research funding. RAV: Medtronic – Medical Advisory Board; Siemens—Research support. PJP: Medtronic- Medical Advisory Board; Boston Scientific - Medical Advisory Board, speaker; Penumbra - consultant, speaker; Cordis – Medical Advisory Board. All other authors have no relevant disclosures. Publisher Copyright: © 2021 Elsevier Inc.

PY - 2021/6

Y1 - 2021/6

N2 - Acute uncomplicated type B aortic dissection (aTBAD) is often treated non operatively, with medical management primarily focused on blood pressure and heart rate control. After a 3 month period following the initial diagnosis, the dissection is considered chronic. Frequent clinical and imaging follow-up is performed to evaluate for dissection stability, aneurysmal degeneration, and visceral malperfusion, which would represent indication for surgical or endovascular repair. In this article we discuss four cases of chronic type B aortic dissection (cTBAD) managed with thoracic endovascular aortic repair (TEVAR) and varying techniques.

AB - Acute uncomplicated type B aortic dissection (aTBAD) is often treated non operatively, with medical management primarily focused on blood pressure and heart rate control. After a 3 month period following the initial diagnosis, the dissection is considered chronic. Frequent clinical and imaging follow-up is performed to evaluate for dissection stability, aneurysmal degeneration, and visceral malperfusion, which would represent indication for surgical or endovascular repair. In this article we discuss four cases of chronic type B aortic dissection (cTBAD) managed with thoracic endovascular aortic repair (TEVAR) and varying techniques.

KW - TEVAR

KW - chronic type B aortic dissection

KW - endovascular interventions

KW - false lumen

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Endovascular Management of Chronic Type B Aortic Dissection

Abstract

Keywords

ASJC Scopus subject areas

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