Management of acute type B aortic dissection with malperfusion via endovascular fenestration/stenting.

ABSTRACT:

Objective

The study objective was to evaluate the management of malperfusion in acute type B aortic dissection with endovascular fenestration/stenting.

Methods

From 1996 to 2018, 182 patients with an acute type B aortic dissection underwent fenestration/stenting for suspected malperfusion based on imaging, clinical manifestations, and laboratory findings. Data were obtained from medical record review and the National Death Index database.

Results

The median age of patients was 55 years. Signs of malperfusion included abdominal pain (61%), lower-extremity weakness (27%), nonpalpable lower-extremity pulses (24%), and abnormal lactate, creatinine, liver enzymes, and creatine kinase levels. Confirmed hemodynamically significant malperfusion affected the spinal cord (2.7%)

SUBMITTER: Norton EL 

PROVIDER: S-EPMC7103520 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature