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Endovascular Treatment of Type B Aortic Dissection

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Endovascular Interventions

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Abstract

Endovascular technology and techniques are being rapidly applied to patients with acute and chronic dissections despite being an off-label indication. Multiple studies have shown morbidity and mortality benefit when comparing short- and midterm outcomes between open and endovascular repair. The goal with TEVAR, which is accomplished in greater than 90 %, is to cover the proximal intimomedial tear and reestablish preferential antegrade flow to the true lumen. This allows thrombosis of the false lumen in 80–95 %, decreased false lumen diameter in 79 %, and true lumen expansion in 66 %. Although TEVAR provides an effective repair with superior risk profile when compared with open repair, the rate of reintervention can reach 60 % due to endoleak, stent migration, stent-graft collapse, material fatigue, or propagation of the dissection. This chapter presents the endovascular treatment of type B aortic dissections.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, University of Texas Southwestern, 5323 Harry Hines Blvd., Dallas, TX, 75390, USA

    Andrea C. Cooley DO & J. Michael DiMaio MD

  2. Department of Cardiovascular and Thoracic Surgery, Aortic Institute, Sanger Heart and Vascular Institute, Carolinas Medical Center, Charlotte, NC, USA

    Frank R. Arko III MD

Authors
  1. Andrea C. Cooley DO
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  2. J. Michael DiMaio MD
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  3. Frank R. Arko III MD
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Editor information

Editors and Affiliations

  1. Edward Hines, Jr. VA Hospital Loyola University Medical Center, Glen Ellyn, Illinois, USA

    Robert S. Dieter

  2. Northern Illinois Surgery Center, Naperville, Illinois, USA

    Raymond A. Dieter, Jr.

  3. University of Tennessee Medical Center, Knoxville, Tennessee, USA

    Raymond A. Dieter, III

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Cooley, A.C., DiMaio, J.M., Arko, F.R. (2014). Endovascular Treatment of Type B Aortic Dissection. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_18

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  • DOI: https://doi.org/10.1007/978-1-4614-7312-1_18

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7311-4

  • Online ISBN: 978-1-4614-7312-1

  • eBook Packages: MedicineMedicine (R0)

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