Thoracic Aortic Dissection

Long-Term Results of Endovascular and Open Repair

Sreekumar - Subramanian, Eric E. Roselli

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Treatment paradigms for aortic dissection are based upon the types of complications with which the patients present. For acute uncomplicated dissection, medical therapy is preferred. Endovascular repair is preferred for patients with acute distal dissection complicated by end-organ malperfusion, rupture, or aneurysmal degeneration. For patients with chronic dissection with aneurysm, open repair is preferred if safe, and endovascular treatment should be limited to highest-risk patients because of the uncertainty of success with this approach. For intermediate-risk patients, hybrid repairs provide a good alternative. Ultimately, improvement in long-term outcomes after treatment of aortic dissection still depends on prevention of end-organ ischemia and aneurysmal degeneration of the chronically dissected distal aorta. Although the evidence base for the roles of various approaches is lacking, data currently being accrued and must be closely analyzed to better estimate both the short- and long-term benefits of these complementary treatment strategies.

Original languageEnglish (US)
Pages (from-to)61-68
Number of pages8
JournalSeminars in Vascular Surgery
Volume22
Issue number2
DOIs
StatePublished - Jun 2009
Externally publishedYes

Fingerprint

Dissection
Thorax
Therapeutics
Uncertainty
Aneurysm
Aorta
Rupture
Ischemia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Thoracic Aortic Dissection : Long-Term Results of Endovascular and Open Repair. / Subramanian, Sreekumar -; Roselli, Eric E.

In: Seminars in Vascular Surgery, Vol. 22, No. 2, 06.2009, p. 61-68.

Research output: Contribution to journalArticle

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