scholarly journals Part Two: Against the Motion. We do not Need Level 1 Evidence Comparing Best Medical Treatment with TEVAR in Patients with Uncomplicated Type B Aortic Dissection

2013 ◽  
Vol 46 (3) ◽  
pp. 278-279
Author(s):  
A.H. Power ◽  
T.L. Forbes
Keyword(s):  
Aortic Dissection ◽  
Medical Treatment ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Best Medical Treatment ◽  
Level 1

scholarly journals Predictors of aortic growth in uncomplicated type B aortic dissection from the Acute Dissection Stent Grafting or Best Medical Treatment (ADSORB) database

2017 ◽  
Vol 65 (4) ◽  
pp. 964-971.e3 ◽  
Author(s):  
Arnoud V. Kamman ◽  
Jan Brunkwall ◽  
Eric L. Verhoeven ◽  
Robin H. Heijmen ◽  
Santi Trimarchi ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Medical Treatment ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Stent Grafting ◽  
Best Medical Treatment ◽  
Acute Dissection

scholarly journals Endovascular repair or best medical treatment: what is the optimal management of uncomplicated Type-B acute aortic dissection?

2017 ◽  
Vol 9 (10) ◽  
pp. 3458-3462 ◽  
Author(s):  
María Elena Arnáiz-García ◽  
José María González-Santos ◽  
Ana María Arnáiz-García ◽  
Javier Arnáiz
Keyword(s):  
Aortic Dissection ◽  
Medical Treatment ◽  
Endovascular Repair ◽  
Acute Aortic Dissection ◽  
Optimal Management ◽  
Type B ◽  
Best Medical Treatment

scholarly journals Management of Uncomplicated Type B Aortic Dissection

Hearts ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 14-24
Author(s):  
Xun Yuan ◽  
Rachel E. Clough ◽  
Christoph A. Nienaber
Keyword(s):  
Aortic Dissection ◽  
Endovascular Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Term Survival ◽  
Subacute Phase ◽  
Stent Grafting ◽  
Best Medical Treatment ◽  
Type B Dissection ◽  
Acute Dissection

Acute aortic dissection has an incidence of approximately half that of symptomatic abdominal and thoracic aneurysm of the aorta and more than twice the mortality of population-based controls. While urgent undelayed open surgery is the strategy of choice in proximal dissection, medical management has been the mainstay of treatment for uncomplicated distal or type B aortic dissection, but endovascular intervention is now considered a potential treatment option for all type B dissection due to its success in complicated cases. Endovascular repair can be technically demanding in aortic dissection, and timing of the repair can have a significant influence on anatomical and clinical outcome. Observational reports of feasibility and reasonable safety are flanked by only two randomised trials; the Acute Dissection Stent Grafting or Best Medical Treatment (ADSORB) trial demonstrated improved remodelling in acute dissection and the INvestigation of STEnt grafts in patients with type B Aortic Dissections (INSTEAD) trial showed better long-term survival in patients treated endovascularly in the subacute phase. Meta-analyses and other large clinical studies have demonstrated mixed results. Due to some risks associated endovascular repair and the requirement of specialist aortic care (which is not always available), a pragmatic approach for current management could involve high intensity serial imaging in the acute phase of a type B aortic dissection, thereby identifying complicated cases for early intervention and selection of patients at high risk of disease progression for deferred endovascular management in the subacute phase within 90 days.

Endovascular repair or medical treatment of acute type B aortic dissection? A comparison

2010 ◽  
Vol 73 (1) ◽  
pp. 175-180 ◽  
Author(s):  
I. Chemelli-Steingruber ◽  
A. Chemelli ◽  
A. Strasak ◽  
B. Hugl ◽  
R. Hiemetzberger ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Medical Treatment ◽  
Endovascular Repair ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection
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