Endovascular therapy for stanford type B aortic dissection in 102 cases.
OBJECTIVE
To share our experience of 102 cases of endovascular therapy for Stanford type B aortic dissection.


METHODS
Multiple imaging diagnostic modalities were used preoperatively to obtain the anatomical parameters of the aortic dissection. Stent grafts were implanted using digital subtraction angiography and intravascular ultrasound guidance. Follow-up computed tomography angiography 1 week and 1 year postoperatively was used to evaluate treatment efficacy and reveal complications such as endoleak, migration and fracture of the stent graft.


RESULTS
Clinical success was achieved in 101 cases (99.0%); one patient (1.0%) died within the perioperative period. Neither postoperative paraplegia nor conversion occurred. Endoleak occurred in 18 cases (17.6%).


CONCLUSIONS
Endovascular therapy for Stanford type B aortic dissection is less invasive and leads to less severe complications and shorter hospital stay compared with traditional surgery. The short- and mid-term efficacy are persuasive, but further follow-up is required to determine long-term efficacy.
Fu
Wei-Guo
WG
Division of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Shi
Yun
Y
Wang
Yu-Qi
YQ
Guo
Da-Qiao
DQ
Xu
Xin
X
Chen
Bin
B
Jiang
Jun-Hao
JH
Yang
Jue
J
Shi
Zhen-Yu
ZY
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000601:surgery / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D001014:Aortic Aneurysm / Q000601:surgery / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D018084:Ultrasonography, Interventional