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Current Endograft Therapy of Type B Aortic Dissection

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Advances in Understanding Aortic Diseases

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Summary

Over the last decade, the emergence of endovascular therapies provides an alternative to both open surgery and medical therapy in the management of patients with type B aortic dissection. The benefits of this new approach are perhaps most apparent in the reported experience with endografts used in the setting of acute dissection complicated by rupture, organ malperfusion, rapidly expanding false lumen, or unremitting pain. Successful placement of an aortic endograft across the entry tear(s) of the dissection with obliteration of this communication(s) to the false lumen and re-direction of blood flow via the true lumen exclusively is an increasingly valuable treatment strategy in selected patients with complicated dissection. The results in this setting compare very favorably with those reported for traditional open surgical therapy with less morbidity and risk of paraplegia. Currently, global consensus does not yet support the extension of endograft use to include patients with uncomplicated acute dissection or chronic dissection.

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Author information

Authors and Affiliations

  1. Department of Radiology, University of Virginia Health System, 1215 Lee Street, Rm 1076, Charlottesville, VA, 22908

    Sidney L. Kahn & Michael D. Dake

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  1. Sidney L. Kahn
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  2. Michael D. Dake
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Editor information

Editors and Affiliations

  1. Cardio-vascular Center Hokkaido Ohno Hospital, 4-1Nishino, Nishi-ku, Sapporo, 063-0034, Japan

    Teruhisa Kazui M.D.

  2. Department of Cardiothoracic Surgery Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Shinichi Takamoto M.D.

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© 2009 Springer

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Kahn, S.L., Dake, M.D. (2009). Current Endograft Therapy of Type B Aortic Dissection. In: Kazui, T., Takamoto, S. (eds) Advances in Understanding Aortic Diseases. Springer, Tokyo. https://doi.org/10.1007/978-4-431-99237-0_12

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  • DOI: https://doi.org/10.1007/978-4-431-99237-0_12

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-99236-3

  • Online ISBN: 978-4-431-99237-0

  • eBook Packages: MedicineMedicine (R0)

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