title: [Treatment of acute aortic dissection type B].
abstract: Four patients presented with an acute type B aortic dissection. All were managed medically. However, three of the four patients needed additional invasive treatment. A 67-year-old patient was given a spinal catheter because of neurological symptoms. A 57-year-old patient underwent endovascular fenestration of the right renal artery and stenting of the iliac arteries to treat acute ischemia. In a 71-year-old patient an endograft was placed in the distal aortic arch to close a tear in the aortic wall, and two stents were placed in the right renal artery for stenosis. Currently, medical management is the preferred treatment for uncomplicated type B aortic dissection. In complicated type B aortic dissection, endovascular grafting seems to be a useful solution with a high primary success percentage.
authors.affiliation: Universitair Medisch Centrum Utrecht, Afd. Heelkunde, Utrecht, The Netherlands. c.arts@jbz.nl
authors.forename: Cora H P
authors.initials: CH
authors.lastname: Arts
authors.forename: Hence J M
authors.initials: HJ
authors.lastname: Verhagen
authors.forename: Jan M M
authors.initials: JM
authors.lastname: Heyligers
authors.forename: Frans L
authors.initials: FL
authors.lastname: Moll
mesh_terms: D000208:Acute Disease; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome
chemical_list: D000319:Adrenergic beta-Antagonists; D000959:Antihypertensive Agents