Endovascular Repair for Penetrating Atherosclerotic Ulcers of the Descending Thoracic Aorta: Early and Mid-Term Results

The role of multidetector-row CT in the diagnosis, classification and management of acute aortic syndrome

“…60,87 As for Type B classic aortic dissection, the initial published experience of endovascular treatment of Type B IMH or PAU is promising with excellent technical success rates and relatively low mortality and complication rates reported in the literature to date. 60,63,82,84,85,87 CONCLUSION This review highlights the characteristic MDCT features of the conditions that constitute AAS and demonstrates the vital role of MDCT in the classification and management of these lifethreatening conditions.…”

“…2,57 Features indicating the need for intervention in patients undergoing follow-up include recurrent or refractory pain, aortic diameter .55 mm, an annual increase in aortic diameter by .10 mm and the presence of a periaortic haematoma. 63 CLASSIFICATION AND MANAGEMENT OF ACUTE AORTIC SYNDROME AAS may be defined as acute if the duration of symptoms is less than 2 weeks and chronic if more than 2 weeks, with the greatest morbidity and mortality occurring during the acute period. 35,64 AAS is further classified anatomically based on the extent of involvement of the thoracic aorta.…”

Endovascular Repair of Thoracic Aortic Emergencies

“…Early mortality after TEVAR in penetrating aortic ulcer is reported at 0%-11%. Mediumterm outcomes have been published, with 1-, 3-, and 5-year survival rates of 85%, 75%, and 60%, respectively (Geisbüsch et al, 2008;Botta et al, 2008;Demers et al, 2004).…”

Surgical Management of Descending Thoracic Aortic Disease: Open and Endovascular Approaches

“…Because the use of stent grafts is associated with endoleaks and other unique complications, it cannot be considered curative as in the sense of open surgical graft replacement of the aorta. 99 In fact, the diffuse atherosclerotic burden increases the risk of endoleaks in this patient population. The diffuse disease also increases the risk of recognized complications such as aortic dissections that extend into the arch and ascending aorta.…”

“…91 Several small studies have examined the utility of aortic stent grafting in PAU (Table 6). [93][94][95][96][97][98][99] Unlike classic aortic dissection, PAU is typically a focal, localized lesion, which represents an ideal anatomic target for stent grafting. In addition, PAU patients have significant atherosclerotic disease, often with other serious comorbidities.…”