Navigating clinical appropriateness: A review of management strategies for type B aortic dissection

Semin Vasc Surg. 2024 Jun;37(2):240-248. doi: 10.1053/j.semvascsurg.2024.04.005. Epub 2024 Apr 27.

Abstract

Aortic dissection is a catastrophic, life-threatening event. Its management depends on the anatomic location of the intimal tear (type A v B) and the clinical presentation in type B aortic dissection. In this article, the current evidence supporting clinical practice, gaps in knowledge, and the need for more rigorous research and higher-quality studies are reviewed.

Keywords: Aortic dissection; TBAD; TEVAR; Type B aortic dissection.

Publication types

  • Review

MeSH terms

  • Aortic Aneurysm* / diagnostic imaging
  • Aortic Aneurysm* / surgery
  • Aortic Aneurysm* / therapy
  • Aortic Dissection* / diagnostic imaging
  • Aortic Dissection* / surgery
  • Aortic Dissection* / therapy
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / standards
  • Clinical Decision-Making
  • Endovascular Procedures* / adverse effects
  • Endovascular Procedures* / standards
  • Humans
  • Patient Selection
  • Risk Factors
  • Treatment Outcome