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• W1981503323 abstract "To review the concepts and current clinical results of endovascular stent-graft placement for acute complicated type B aortic dissection.The optimal treatment for patients with dissections confined to the descending aorta (Stanford type B-AD) remains a matter of debate. Usually, antihypertensive medical therapy with strict blood pressure lowering below 135/80 mm Hg represents the first choice for patients with uncomplicated type B-AD. Patients with acute complicated type B-AD remain a major therapeutic challenge because surgery of the descending aorta is still associated with high morbidity and mortality. In 1999, endovascular stent-graft placement was introduced as a novel, less invasive treatment option for patients with type B aortic dissection. Current indications include acute (contained) aortic rupture, symptomatic ischemic branch vessel involvement, early aortic expansion, or unrelenting pain. So far, few studies on stent-graft placement in patients with acute complicated aortic dissection have been published reporting an early mortality between 0 and approximately 20%.To date, there is limited experience with endovascular stent-graft placement for acute complicated type B aortic dissection demonstrating its feasibility and life-saving potential. The endovascular approach can avoid the major trauma of open surgery and should help to get patients out of the acute life-threatening phase of the disease; however, long-term results are needed to assess the durability of this treatment." @default.
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• W1981503323 date "2005-11-01" @default.
• W1981503323 modified "2023-10-12" @default.
• W1981503323 title "Endovascular stent-graft placement for complications of acute type B aortic dissection" @default.
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• W1981503323 doi "https://doi.org/10.1097/01.hco.0000181481.86025.a6" @default.
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