Skip Navigation LinksHome > November 2005 - Volume 20 - Issue 6 > Endovascular stent-graft placement for complications of acut...
Current Opinion in Cardiology:
Diseases of the aorta, pulmonary and peripheral vessels

Endovascular stent-graft placement for complications of acute type B aortic dissection

Eggebrecht, Holgera; Lönn, Larsb; Herold, Ulfc; Breuckmann, Frankc; Leyh, Rainerc; Jakob, Heinz Gc; Erbel, Raimunda

Collapse Box


Purpose of review: To review the concepts and current clinical results of endovascular stent-graft placement for acute complicated type B aortic dissection.

Recent findings: The optimal treatment for patients with dissections confined to the descending aorta (Stanford type B-AD) remains a matter of debate. Usually, antihypertensive medical therapy with strict blood pressure lowering below 135/80 mm Hg represents the first choice for patients with uncomplicated type B-AD. Patients with acute complicated type B-AD remain a major therapeutic challenge because surgery of the descending aorta is still associated with high morbidity and mortality. In 1999, endovascular stent-graft placement was introduced as a novel, less invasive treatment option for patients with type B aortic dissection. Current indications include acute (contained) aortic rupture, symptomatic ischemic branch vessel involvement, early aortic expansion, or unrelenting pain. So far, few studies on stent-graft placement in patients with acute complicated aortic dissection have been published reporting an early mortality between 0 and ∼20%.

Summary: To date, there is limited experience with endovascular stent-graft placement for acute complicated type B aortic dissection demonstrating its feasibility and life-saving potential. The endovascular approach can avoid the major trauma of open surgery and should help to get patients out of the acute life-threatening phase of the disease; however, long-term results are needed to assess the durability of this treatment.

© 2005 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.