title: [Stent Grafting for Aortic Dissection].
abstract: The purpose of stent graft for aortic dissection is to terminate antegrade blood flow into the false lumen through primary entry. Early intervention for primary entry makes excellent aortic remodeling and emergent stent grafting for complicated acute type B aortic dissection is supported as a class I. On the other hand stent grafting for chronic aortic dissection is controversial. Early stent grafting is considered with in 6 months after on-set if the diameter of the descending aorta is more than 40 mm. Additional interventions for residual false lumen on the downstream aorta are still required. Stent graft for re-entry, candy-plug technique, and double stenting, other effective re-interventions were reported. Best treatment on the basis of each anatomical and physical characteristics should be selected in each institution. Frozen elephant trunk is alternative procedure for aortic dissection without the need to take account of proximal anatomical limitation and effective for acute type A aortic dissection.
authors.affiliation: Department of Cardiovascular Surgery, Akane-foundation Tsuchiya General Hospital, Hiroshima, Japan.
authors.forename: Naomichi
authors.initials: N
authors.lastname: Uchida
mesh_terms: D000784:Aortic Dissection; D017545:Aortic Aneurysm, Thoracic; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D015607:Stents; D016896:Treatment Outcome