title: Endovascular management of acute complicated type B aortic dissection in North America.
abstract: The management of patients with complicated acute type B aortic dissection is challenging. Thoracic endovascular aortic repair has shown promising results in small series; however, using nonstandard definitions and improper inclusion criteria confounds the published results. This article reviews the techniques and outcome of patients who underwent endovascular treatment for complicated acute type B aortic dissection in North America. Primary stent grafting for treatment of complicated acute type B aortic dissection compares favorably with the surgical outcome. Thoracic aortic endovascular repair can be offered with a relatively low postoperative morbidity and mortality in experienced hands. It also appears to have a favorable outcome in mid-term follow-up. Longevity of the repair and durability of the stent grafts in the thoracic aorta are yet to be established.
authors.affiliation: Division of Cardiothoracic Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA.
authors.forename: Ali
authors.initials: A
authors.lastname: Khoynezhad
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Donayre
authors.forename: Rodney A
authors.initials: RA
authors.lastname: White
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D015607:Stents