Thoracic Endovascular Aortic Repair for Type B Aortic Dissection

Authors

  • Yanqin Ruan Kunming Medical University School of Public Health
  • Haofe Li The First Clinical College of Xinxiang Medical University
  • Chang Liu Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University

DOI:

https://doi.org/10.30564/jams.v5i2.4671

Abstract

The incidence of aortic dissection (AD) is estimated to be 1 in 100,000 per year. The onset and progression of AD are rapid. Failure to receive appropriate treatment might lead to death in a short time. Even following active treatment, patients might develop low cardiac output syndrome, severe infection, and hemorrhage, which lead to death. Interventional therapy is a surgical method that has been widely used in Stanford type B AD recently. It is characterized by minimal invasiveness, low incidence of postoperative complications, and low cost. This article will review the interventional treatments for AD and will guide the selection of treatment options.

Keywords:

Aortic dissection, Interventional therapy, Indications, Complications

References

[1] Mussa, F.F., Horton, J.D., Moridzadeh, R., et al., 2016. Acute Aortic Dissection and Intramural Hematoma: A Systematic Review. JAMA. 316, 754-763.

[2] Dev, R., Gitanjali, K., Anshuman, D., 2021. Demystifying penetrating atherosclerotic ulcer of aorta: unrealised tyrant of senile aortic changes. Journal of Cardiovascular and Thoracic Research. 13, 1-14.

[3] Sen, I., Erben, Y.M., Franco-Mesa, C., et al., 2021. Epidemiology of aortic dissection. Seminars in Vascular Surgery. 34, 10-17.

[4] Nienaber, C.A., Clough, R.E., 2015. Management of acute aortic dissection. The Lancet. 385, 800-811.

[5] Pang, D., Hildebrand, D., Bachoo, P., 2019. Thoracic endovascular repair (TEVAR) versus open surgery for blunt traumatic thoracic aortic injury. Cochrane Database of Systematic Reviews. 2, CD006642.

[6] Bondesson, J., Suh, G.Y., Marks, N., et al., 2021. Influence of thoracic endovascular aortic repair on true lumen helical morphology for Stanford type B dissections. Journal of Vascular Surgery.

[7] Schattner, A., Dubin, I., Glick, Y., 2021. Pauci-Symptomatic Aortic Dissection. American Journal of Medicine. 134, e201-e202.

[8] Zenati, M.A., 2021. Commentary: The conundrum of cerebral malperfusion in aortic dissection. Journal of Thoracic and Cardiovascular Surgery. 161, 1721.

[9] Shah, R., Pulton, D., Wenger, R.K., et al., 2021. Aortic Dissection During Cardiac Surgery. Journal of Cardiothoracic and Vascular Anesthesia. 35, 323-331.

[10] Roman, M.J., Devereux, R.B., 2020. Aortic Dissection Risk in Marfan Syndrome. Journal of the American College Of Cardiology. 75, 854-856.

[11] Wang, X., Zhang, H., Cao, L., et al., 2020. The Role of Macrophages in Aortic Dissection. Frontiers In Physiology. 11, 54.

[12] Zhou, Y., Wang, W.C., Zhang, X.M., et al., 2018. Aortic remodelling after thoracic endovascular aortic repair for acute and subacute type B aortic dissection. Quantitative Imaging in Medicine and Surgery. 8, 391-398.

[13] Akin, I., Nienaber, C.A., 2020. Prediction of aortic dissection. Heart. 106, 870-871.

[14] Prendes, C.F., Christersson, C., Mani, K., 2020. Pregnancy and Aortic Dissection. European Journal of Vascular And Endovascular Surgery. 60, 309-311.

[15] Sun, H.D., Lee, W.L., Wang, P.H., 2020. Aortic dissection during pregnancy. Taiwanese Journal of Obstetrics & Gynecology. 59, 627-628.

[16] Kuo, H.S., Huang, J.H., Chen, J.S., 2019. Handmade stent graft fenestration to preserve left subclavian artery in thoracic endovascular aortic repairdagger. European Journal of Cardio-Thoracic Surgery. 56, 587-594.

[17] Paulraj, S., Ashok Kumar, P., Uprety, A., et al., 2020. Aortic dissection and multimodality imaging. Echocardiography. 37, 1485-1487.

[18] Akutsu, K., 2019. Etiology of aortic dissection. General Thoracic and Cardiovascular Surgery. 67, 271-276.

[19] Zhao, Y., Feng, J., Yan, X., et al., 2019. Outcomes of the Chimney Technique for Endovascular Repair of Aortic Dissection Involving the Arch Branches. Annals of Vascular Surgery. 58, 238-47 e3.

[20] Shu, C., Fan, B., Luo, M., et al., 2020. Endovascular treatment for aortic arch pathologies: chimney, on-the-table fenestration, and in-situ fenestration techniques. Journal of Thoracic Disease. 12, 1437-1448.

[21] Jing, Z., Lu, Q., Feng, J., et al., 2020. Endovascular Repair of Aortic Dissection Involving the Left Subclavian Artery by Castor Stent Graft: A Multicentre Prospective Trial. European Journal of Vascular And Endovascular Surgery. 60, 854-861.

[22] Jassar, A.S., Sundt, T.M., 2019. How should we manage type A aortic dissection? General Thoracic Cardiovascular Surgery. 67, 137-145.

[23] Poniedzialek-Czajkowska, E., Sadowska, A., Mierzynski, R., et al., 2019. Aortic dissection during pregnancy - obstetric perspective. Ginekologia Polska. 90, 346-350.

[24] Shatila, W., Krajcer, Z., 2019. Ascending aortic dissection: Can we treat it without surgery? Catheterization and Cardiovascular Interventions. 94, 1026-1027.

[25] Schattner, A., Dubin, I., Drahy, A.I.Y., 2019. Abiraterone and Aortic Dissection. American Journal of Therapeutics. 26, e624-e625.

[26] Thunstrom, S., Krantz, E., Thunstrom, E., et al., 2019. Incidence of Aortic Dissection in Turner Syndrome. Circulation. 139, 2802-2804.

[27] Svensson, L.G., 2019. Are We There Yet? Emerging Milestones in Aortic Dissection Care. Journal of the American Heart Association. 8, e012402.

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Vol. 5 , Iss. 2 (July 2022)

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