scholarly journals Endovascular vs. Medical Management for Uncomplicated Acute and Sub-acute Type B Aortic Dissection: A Meta-analysis

2020 ◽  
Vol 59 (5) ◽  
pp. 794-807 ◽  
Author(s):  
Martin Hossack ◽  
Shaneel Patel ◽  
Ivancarmine Gambardella ◽  
Simon Neequaye ◽  
George A. Antoniou ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Medical Management ◽  
Meta Analysis ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection

Spinal Cord Ischemia in the Setting of Acute Type B Aortic Dissection: Successful Rescue with Thoracic Endovascular Aortic Repair

2021 ◽  
pp. 153857442110451
Author(s):  
Masaki Kano ◽  
Toru Iwahashi ◽  
Toshiya Nishibe ◽  
Kentaro Kamiya ◽  
Hitoshi Ogino
Keyword(s):  
Spinal Cord ◽  
Aortic Dissection ◽  
Medical Management ◽  
Spinal Cord Ischemia ◽  
False Lumen ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection

We report 2 cases of successful thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection (ABAD) complicated with spinal cord ischemia (SCI). Case 1. A 70-year-old gentleman found with an uncomplicated ABAD with false lumen occluded, developed SCI shortly after admission during the initial medical management. Cerebrospinal fluid drainage (CSFD) was initiated followed by emergent TEVAR. SCI improved, and the patient was discharged. Case 2. A 52-year-old gentleman developed uncomplicated ABAD with patent false lumen. 5 hours after admission, he developed SCI during the initial medical management. Emergent TEVAR was performed followed by CSFD, and the SCI improved before discharge. These cases prompted us to address prompt TEVAR for primary entry closure and true lumen dilatation with postoperative hypertensive management to relieve the dynamic obstruction of the segmental arteries responsible for the compromised spinal cord circulation in complicated ABAD.

scholarly journals Evaluation of a Standardized Protocol for Medical Management of Uncomplicated Acute Type B Aortic Dissection

2021 ◽  
Vol 74 (4) ◽  
pp. e368-e369
Author(s):  
Antony Aziz ◽  
Hannah O'Donnell ◽  
Donald G. Harris ◽  
Hee Soo Jung ◽  
Paul DiMusto
Keyword(s):  
Aortic Dissection ◽  
Medical Management ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Standardized Protocol

scholarly journals Evaluation of a Standardized Protocol for Medical Management of Uncomplicated Acute Type B Aortic Dissection

2021 ◽  
Vol 74 (3) ◽  
pp. e224
Author(s):  
Antony I. Aziz ◽  
Hannah O'Donnell ◽  
Donald G. Harris ◽  
Hee Soo Jung ◽  
Paul DiMusto
Keyword(s):  
Aortic Dissection ◽  
Medical Management ◽  
Acute Type ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Standardized Protocol
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