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Endovascular Therapy in Aortic Pathology

  • Chapter
Aortic Dissection and Related Syndromes

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 260))

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Abstract

The interventional management of aortic dissection and the use of stent grafts evolved slowly in anticipation of the risk of paraplegia from spinal artery occlusion. This complication occurs in up to 18% after surgery initiating the search for alternative therapeutic strategies such as endovascular procedures. Today, after rapid technical improvement, a large number of aortic dissection patients have been successfully treated by percutaneous stent-graft placement covering the entry tear in the descending aorta and even in the aortic arch, and studies have demonstrated that closure of the entry tear is essential to reconstruct the true lumen and reduce total aortic diameter. Entry tear closure promotes both thrombus formation in the false lumen and remodeling of the entire aorta1–4. Thus, in aortic dissection there appears to be a role for stent-graft placement in the treatment of static or dynamic obstruction of aortic branch arteries.

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Author information

Authors and Affiliations

  1. Division of Cardiology, University Hospital Rostock, Ernst-Heydemann-Strasse 6, D-18057, Rostock, Germany

    Hüseyin Ince & Christoph A. Nienaber

  2. Cardiovascular Division, Brigham and Women’s Hospital, 75 Francis Street, PBB-1, Boston, MA, 02115, USA

    Joshua Beckmann

  3. Cardiovascular Unit, Department of Radiology, University Hospital S. Orsole, Bologne, Italy

    Rosella Fattori

Authors
  1. Hüseyin Ince
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  2. Christoph A. Nienaber
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  3. Joshua Beckmann
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  4. Rosella Fattori
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Editor information

Editors and Affiliations

  1. University of Michigan, Ann Arbor, Michigan, USA

    Kim A. Eagle MD (Albion Walter Hewlett Professor of Internal Medicine, Chief of Clinical Cardiology, Clinical Director of Cardiovascular Center) (Albion Walter Hewlett Professor of Internal Medicine, Chief of Clinical Cardiology, Clinical Director of Cardiovascular Center)

  2. Ohio State University Hospital East, Columbus, Ohio, USA

    Ragavendra R. Baliga MD, MBA (Director, Section of Cardiovascular Medicine, Clinical Professor of Internal Medicine) (Director, Section of Cardiovascular Medicine, Clinical Professor of Internal Medicine)

  3. Thoracic Aortic Center, Massachusetts General Hospital, Boston, Massachusetts, USA

    Eric M. Isselbacher MD (Co-Director) (Co-Director)

  4. Division of Cardiology, University Hospital Rostock, Rostock, Germany

    Christoph A. Nienaber MD (Head) (Head)

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© 2007 Springer Science+Business Media, LLC

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Ince, H., Nienaber, C.A., Beckmann, J., Fattori, R. (2007). Endovascular Therapy in Aortic Pathology. In: Eagle, K.A., Baliga, R.R., Isselbacher, E.M., Nienaber, C.A. (eds) Aortic Dissection and Related Syndromes. Developments in Cardiovascular Medicine, vol 260. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-36001-0_8

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  • DOI: https://doi.org/10.1007/978-0-387-36001-0_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-36000-3

  • Online ISBN: 978-0-387-36001-0

  • eBook Packages: MedicineMedicine (R0)

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