Dissection of the Abdominal Aorta. Current Evidence and Implications for Treatment Strategies: A Review and Meta-Analysis of 92 Patients

Jonker, Frederik H.W.; Schlösser, Felix J.V.; Moll, Frans L.; Muhs, Bart E.

doi:10.1583/08-2601.1

Cited by 64 publications

(75 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Medically managed IAADs usually progress with a high mortality rate; therefore, aggressive surgical or endovascular treatment has been recommended. 4,5 Although endovascular treatment of infrarenal IAAD has recently been reported as an efficient therapeutic approach, 6,7 whether endovascular treatment of suprarenal IAAD is safe with a durable result is unknown. Successful endovascular treatment of aortic dissection could promote aortic remodeling, but little has been reported about aortic remodeling after endovascular intervention in IAADs.…”

mentioning

confidence: 99%

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Zhu

Lai

et al. 2015

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Zhu

Lai

et al. 2015

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…In cases of true abdominal location the entry is located between the renal arteries and the inferior mesenteric artery (in 50% of cases), while re-entry is usually in the CIA [10].…”

Section: Discussionmentioning

confidence: 99%

“…Endovascular methods are often the first line treatment nowadays, and are especially effective for long lesions [10,14]. The aim of the therapy is implantation of a stent or stentgraft into the true lumen with the aim of collapsing the false lumen and redirecting the blood flow to the true lumen.…”

Section: Discussionmentioning

confidence: 99%

Acute onset of lower limb claudication as a manifestation of a spontaneous common iliac artery dissection

Hapka¹,

Halena²

2017

Acta Angiologica

View full text Add to dashboard Cite

show abstract

“…The results from a meta-analysis published by Jonker et al 8 suggest that an early aggressive (open or endovascular surgery) may be associated with improved survival. However this is a retrospective study with only 19 patients treated with endografts, therefore, in our institution, we still manage the AIAAD with medical treatment and treat these patients in case of ischemic complications.…”

Section: Treatment Strategies For Acute Iaad Include Open Surgery Enmentioning

confidence: 99%

Endovascular Treatment of Isolated Chronic Abdominal Aortic Dissection

et al. 2016

View full text Add to dashboard Cite

RESUMOA disseção isolada da aorta abdominal é um evento raro. A sua história natural e tratamento ideal não estão totalmente esclarecidos. A intervenção endovascular tem ganho uma preponderância crescente. A disseção crónica isolada da aorta abdominal está ainda menos descrita na literatura. Descrevemos três casos de doentes com disseção crónica isolada da aorta abdominal submetidos a tratamento endovascular na nossa instituição. A média de idades dos doentes era de 82 anos. A indicação terapêutica foi degeneração aneurismática. O diâmetro aórtico médio à apresentação era de 46,7 mm. Não houve mortalidade ou reintervenção peri-operatória. O seguimento pós-operatório médio foi de 5,3 anos (2-12 anos). Realizou-se reintervenção tardia num doente, oito anos após a cirurgia inicial, por endofuga tipo I. Segundo a nossa curta experiência o tratamento endovascular representa uma opção terapêutica eficaz na disseção crónica isolada da aorta abdominal. O follow-up alargado é mandatório. São necessários estudos com maiores amostras e follow-up para melhor compreender esta patologia. Palavras-chave: Aneurisma da Aorta Abdominal; Aneurisma Dissecante; Implante de Prótese Vascular; Procedimentos Endovasculares. ABSTRACTIsolated acute abdominal aortic dissection is a relatively rare event. Its natural history is not fully understood and its optimal treatment is not established. Open surgery represents the most described treatment but endovascular intervention has had increasing application. Isolated chronic abdominal aortic dissection is even less described in the literature. We describe three patients with isolated chronic abdominal aortic dissection who underwent endovascular treatment in our institution. Mean age at presentation was 82 years. Indication for surgical intervention was aneurismal degeneration. Mean aortic diameter at presentation was 46.7 mm. There was no perioperative mortality or reinterventions. Mean follow-up was 5.3 years (2-12 years). Late reintervention was needed in one patient, eight years after initial surgery, due to type 1 endoleak. According to our experience, endovascular intervention represents an effective and durable treatment option in isolated chronic abdominal aortic dissection. However, long-term follow-up is mandatory. Furthermore, larger studies are still needed to understand this disease and its adequate treatment.

show abstract

Dissection of the Abdominal Aorta. Current Evidence and Implications for Treatment Strategies: A Review and Meta-Analysis of 92 Patients

Cited by 64 publications

References 53 publications

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Acute onset of lower limb claudication as a manifestation of a spontaneous common iliac artery dissection

Endovascular Treatment of Isolated Chronic Abdominal Aortic Dissection

Contact Info

Product

Resources

About