Emergent endovascular stent-graft placement to treat ruptured Stanford type B acute aortic dissection

Abstract

Uncomplicated Stanford type B acute aortic dissection, for which medical treatments are effective in most cases, is associated with a better prognosis than Stanford type A dissection. However, ruptured Stanford type B dissection still is associated with high mortality, because of the risks of open surgery and the complications of the disease. We report successful stent-graft placement in two patients with acute type B dissection with rupture, and discuss the advantages of stent-graft placement to treat ruptured acute type B dissection.

Late Surgical Conversion After Thoracic Endograft Failure due to Fracture of the Longitudinal Support Wire

“…Endovascular repair has been shown to be an attractive alternative to open surgery for a diverse array of thoracic lesions [6][7][8] ; procedural morbidity and mortality rates have been low, and the midterm results acceptable. 2,9 However, in the mid to long-term follow-up of these devices, material fatigue has become a threat to the durability of stent-grafts.…”

A Novel Vascular-Friendly Thoracic Stent Graft for Endovascular Repair of Acute Complicated Type B Aortic Dissection

“…3,4) Evidence-based medicine has shown that TEVAR can significantly reduce early mortality and improve the prognosis. [5][6][7] Endovascular treatment for acTBAD, however, is still associated with major complications such as retrograde type A dissection (RTAD), 8,9) stent-graft migration, 10) distal true lumen collapse, 11) endoleaks, 12) and stent-graft-induced new entry. 13) Most current aortic stent grafts are designed for patients with chronic degenerative diseases such as an aortic aneurysm.…”