Morphologic Outcome after Endovascular Treatment of Complicated Type B Aortic Dissection

Effects of False Lumen Procedures on Aorta Remodeling of Chronic DeBakey IIIb Aneurysm

“…In the case of CDIIIb aneurysms, both the presence of a stiff dissection flap and the inability to seal off the false lumen (FL) distally have been suggested as factors that may cause failure in TEVAR procedures. Indeed, TEVAR for CDIIIb aneurysms has previously exhibited unfavorable complete thrombosis rates (30% to 60%) [7][8][9]. Furthermore, we have previously used aggressive TEVAR while ensuring the sufficiency of the proximal landing zone and extending the stent graft to the level of the celiac trunk, but observed a complete thrombosis rate of only 65% for CDIIIb aneurysms [1].…”

Endovascular Repair Compared With Medical Management of Patients With Uncomplicated Type B Acute Aortic Dissection

“…Given that a thrombosed false lumen predicts lower event rates with type B-AAD (7) and favorable false lumen remolding after TEVAR for type B aortic dissection (8)(9)(10), TEVAR has also been used in patients with uncomplicated type B-AAD to reduce late morbidity and mortality (8,11,12). Recently, several studies have compared early and late outcomes of TEVAR and BMT in patients with type B-AAD (8,(11)(12)(13)(14)(15)(16).…”

Temporal and Morphological Patterns Predict Outcome of Endovascular Repair in Acute Complicated Type B Aortic Dissection

“…A higher degree of total false lumen thrombosis has been demonstrated in type IIIA patients after TEVAR, as well as along the stented segment in type IIIB. 21 The PETTICOAT concept, 22 using a pathology specific device with proximal stent graft and distal bare metal stent, has been described as a potential adjunct in complex distal dissection involving the abdominal aorta. The FLA may be a better proxy for flow in the false lumen than the diameter, and it may also be less susceptible to inter-observer variation than diameter measurement.…”