Endovascular Management of Chronic Type B Aortic Dissection

Tech Vasc Interv Radiol. 2021 Jun;24(2):100752. doi: 10.1016/j.tvir.2021.100752. Epub 2021 Jul 27.

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.

MeSH terms

  • Aortic Aneurysm, Thoracic* / diagnostic imaging
  • Aortic Aneurysm, Thoracic* / surgery
  • Aortic Dissection* / diagnostic imaging
  • Aortic Dissection* / surgery
  • Blood Vessel Prosthesis Implantation*
  • Endovascular Procedures*
  • Humans
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome