Indication of endovascular treatment of type B aortic dissection - Literature review
| Autor: | Adriana Lugo Ferrachini, João Jackson Duarte, Alvaro Razuk Filho, Ricardo Adala Benfatti, Walter Kegham Karakhanian, José Carlos Dorsa Vieira Pontes |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system Aortic Diseases lcsh:Surgery Disease Aneurysm Aneurysm Dissecting medicine.artery Ascending aorta Occlusion medicine Humans Procedimentos Endovasculares Hospital Mortality Endovascular treatment Review Articles Randomized Controlled Trials as Topic Aortic dissection Aortic Aneurysm Thoracic business.industry Mortality rate Endovascular Procedures Doenças da Aorta General Medicine lcsh:RD1-811 medicine.disease Thrombosis Surgery Aortic Dissection Treatment Outcome lcsh:RC666-701 cardiovascular system Aneurisma Dissecante Radiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery, Vol 29, Iss 3, Pp 396-401 (2014) Revista Brasileira de Cirurgia Cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular Brazilian Journal of Cardiovascular Surgery v.29 n.3 2014 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
| ISSN: | 1678-9741 |
| Popis: | Aortic dissection is a cardiovascular event of high mortality if not early diagnosed and properly treated. In Stanford type A aortic dissection, there is the involvement of the ascending aorta, whereas in type B the ascending aorta is not affected. The treatment of type A aortic dissection is mainly surgical. The hospital mortality of type B aortic dissection surgical treatment is approximately 20%, while medical therapy is 10%. However, half the patients who are discharged from hospital after medical treatment, progress to aortic complications in the following years, and the mortality in three to five years may reach 25-50%. In addition, the surgical treatment of aortic complications after medical treatment, has also a significant mortality. This way, the endovascular treatment comes up as an interesting alternative of a less invasive treatment for this disease. They presented a mortality rate lower than 10% with more than 80% success rate of occlusion and thrombosis of the false lumen. The INSTEAD TRIAL, which randomized patients with uncomplicated type B aortic dissection for optimal medical therapy and endovascular treatment in addition to optimal medical therapy, showed that after three years of follow up, patients who underwent endovascular treatment had lower mortality and aorta-related complications. Therefore, there is a current tendency to recommend the endovascular treatment as a standard for the treatment of type B aortic dissection. |
| Databáze: | OpenAIRE |
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