title: Current Treatment Strategies for Acute Type B Aortic Dissection.
abstract: Acute type B aortic dissection (ATBAD) is a medical emergency that is a common occurrence in patients with atherosclerotic disease. The presentation is usually severe, with tearing pain that radiates to the back, and various levels of end-organ ischemia and malperfusion, even rupture, may occur. Everyone agrees that prompt and aggressive blood pressure control with β-blockers and nitroprusside is imperative, but when to surgically intervene is still not well characterized. However, the advent of minimally invasive stent graft placement has reshaped our thoughts regarding therapeutic intervention for ATBAD. This review is an attempt to define the current surgical indications for treating ATBAD.
authors.affiliation: Department of Vascular Surgery, West Virginia University/CAMC, Charleston, WV, USA mousamd@aol.com.
authors.forename: Albeir Y
authors.initials: AY
authors.lastname: Mousa
authors.affiliation: Department of Vascular Surgery, West Virginia University/CAMC, Charleston, WV, USA.
authors.forename: Shadi
authors.initials: S
authors.lastname: Abu-Halimah
authors.affiliation: Department of Vascular Surgery, West Virginia University/CAMC, Charleston, WV, USA.
authors.forename: Gurpreet
authors.initials: G
authors.lastname: Gill
authors.affiliation: Department of Vascular Surgery, West Virginia University/CAMC, Charleston, WV, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Yacoub
authors.affiliation: Department of Vascular Surgery, West Virginia University/CAMC, Charleston, WV, USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Stone
authors.affiliation: Department of Vascular Surgery, West Virginia University/CAMC, Charleston, WV, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Hass
authors.affiliation: Department of Vascular Surgery, West Virginia University/CAMC, Charleston, WV, USA.
authors.forename: John E
authors.initials: JE
authors.lastname: Campbell
authors.affiliation: Department of Surgery, R. C. Byrd Health Sciences Center, West Virginia University, Charleston, WV, USA.
authors.forename: Ali F
authors.initials: AF
authors.lastname: AbuRahma
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001794:Blood Pressure / Q000187:drug effects; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D057510:Endovascular Procedures / Q000009:adverse effects; D006801:Humans; D012720:Severity of Illness Index; D061665:Time-to-Treatment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional
chemical_list: D000959:Antihypertensive Agents
keywords: aneurysm; aortic; beta-blockers; dissection; enlargement; false; lumen; malperfusion; medical; organ; stent; true; type