Perspectives in Vascular Surgery and Endovascular Therapy

 

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Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 19, No. 2, 146-159 (2007)
DOI: 10.1177/1531003507304166

Complicated Acute Type B Dissection and Endovascular Repair: Indications and Pitfalls

Michael C. Moon, MD

Endovascular Research Cleveland Clinic, Cleveland, Ohio

J. Pablo Morales, MD

Endovascular Research Cleveland Clinic, Cleveland, Ohio

Roy K. Greenberg, MD

Endovascular Research Cleveland Clinic, Cleveland, Ohio, greenbr{at}ccf.org

In light of the morbidity and mortality associated with open repair of complicated acute type B dissection, endoluminal approaches provide an attractive option; however, the challenges of accurate placement within an angulated arch, size of the delivery system, and uncertainty regarding long-term durability have been cited as reasons for caution. This review examines the current literature regarding acute type B dissection and details the methods and potential pitfalls in endovascular management of these complex pathologies.

Key Words: aortic dissection • malperfusion • aortic aneurysm • endograft • endovascular aortic aneurysm repair


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