Secondary interventions after endovascular repair of aortic dissections.

摘要: Background Review the literature on secondary interventions performed for patients who underwent endovascular repair of their type B aortic dissection. Endovascular dissection (TBAD) has been proven to be both technically feasible and beneficial in some patients. However, information regarding is not cohesive. To date, there are little data help guide physicians indications benefits setting previous TBAD. Methods PubMed database was queried publications using following combination keywords; “aortic dissection,” “type B,” “secondary intervention,” “false lumen thrombosis,” “stent graft,” remodeling,” repair. Sixteen articles were selected reviewed interventions, procedure, effects false thrombosis. Data collected, a composite created. Results Literature review demonstrated 161 862 required entry tears, retrograde A dissection, degeneration with expansion, graft malfunction, various access complications. The complete thrombosis rate 33%, overall mortality 18.2%. Conclusions Secondary provide useful adjunct failing dissections. variety treatment options available aneurysmal after thoracic aneurysm This also shows that these proper surveillance optimal medical management, but carry high all-cause mortality.