17.7 Conclusion
In view of recent progress in endovascular treatment of acute type B dissections with its less invasive character and excellent good initial and medium-term results, open repair becomes less and less the first option in complicated acute type B dissections. Nevertheless it must remain an important pillar in the treatment of acute complicated type B dissections. We must not forget that endovascular treatment can fail or it can be inadequate. Owing to the fact that surgery for acute type B dissections is difficult, often during the night and without optimal anesthesiological support, it should be reserved to aortic centers where a large number of acute and elective patients are treated with all treatment modalities.
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Schepens, M., Dossche, K. (2006). Surgical Treatment of Acute Type B Dissection. In: Rousseau, H., Verhoye, JP., Heautot, JF. (eds) Thoracic Aortic Diseases. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-38309-3_17
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