Endovascular Management of Rupture in Acute Type B Aortic Dissections

Objective Reports of thoracic endovascular aortic repair (TEVAR) for complicated acute type B aortic dissection (ABAD) bring together a large range of clinical presentations. With a 30 day mortality of 50% when managed with open surgery, rupture is the most devastating complication of ABAD. This stu...

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Veröffentlicht in:	European journal of vascular and endovascular surgery 2015-06, Vol.49 (6), p.655-660
Hauptverfasser:	Faure, E.M, Canaud, L, Marty-Ané, C, Becquemin, J.-P, Alric, P
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Acute type B aortic dissection rupture Adult Aged Aged, 80 and over Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - mortality Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - mortality Aortic Aneurysm, Thoracic - surgery Aortic Rupture - diagnosis Aortic Rupture - mortality Aortic Rupture - surgery Aortography - methods Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - instrumentation Blood Vessel Prosthesis Implantation - mortality Endovascular Procedures - adverse effects Endovascular Procedures - instrumentation Endovascular Procedures - mortality Feasibility Studies Female France Hospital Mortality Humans Life Sciences Male Middle Aged Postoperative Complications - mortality Postoperative Complications - surgery Reoperation Retrospective Studies Risk Factors Surgery Tertiary Care Centers TEVAR Time Factors Tomography, X-Ray Computed Treatment Outcome
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Zusammenfassung:	Objective Reports of thoracic endovascular aortic repair (TEVAR) for complicated acute type B aortic dissection (ABAD) bring together a large range of clinical presentations. With a 30 day mortality of 50% when managed with open surgery, rupture is the most devastating complication of ABAD. This study investigated the outcome of TEVAR for ABAD complicated by rupture (r-ABAD) to assess the results of this particularly critical subgroup. Methods A review of consecutive TEVAR for r-ABAD in two tertiary referral centers was performed using a prospectively maintained database. Results Between 2000 and 2013, 24 patients (mean age 71 years; 14 males) underwent TEVAR for r-ABAD. Sixteen (67%) were in shock (Systolic blood pressure
ISSN:	1078-5884 1532-2165
DOI:	10.1016/j.ejvs.2015.01.025