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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
THE MANAGEMENT OF THORACIC TYPE A DISSECTIONS
Italian Journal of Vascular and Endovascular Surgery 2011 September;18(3):187-91
Indication, timing and results of endovascular treatment of type A aortic dissection
Nienaber C. A., Kische S., Akin I., Liebold A., Weidtmann B., Ince H., Rehders T. C.
University Heart Center Rostock, Rostock School of Medicine, Rostock, Germany
Thoracic aortic endografting has demonstrated encouraging mid-term results and attracts growing acceptance as a valuable treatment option for chronic aneurysmal disease and complicated distal aortic dissection; the role of endovascular strategies for management of acute thoracic aortic pathologies is even more exciting considering the sobering results of open repair in the acute setting. Although it is accepted that patients at high risk for open surgery will benefit from endovascular strategies, and although the feasibility of endovascular approaches to proximal aorta has been shown, the exact role of stent-graft interventions remains to be defined as the medical community awaits solid long-term data and better devices.