CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S3
DOI: 10.1055/s-0041-1730651
Abstract

Global Approaches to Type B Aortic Dissection: Our Experience

Leila Ahlam Bouziane
Vascular Surgery Department, University Hospital, Oran, Algeria
,
Bouayed Mohamed Nadjib
Vascular Surgery Department, University Hospital, Oran, Algeria
› Author Affiliations

Background: We report our experience in the endovascular treatment of type B aortic dissection Methods: Over a period of 69 months, a total of 41 type B aortic dissections (12 acute, 8 subacute, and 21 chronic dissections) were treated with stent graft in 33 cases and multilayer stents (MLSs) in 8 cases. Our series included 40 patients (One patient was operated for a double location): 9 women and 31 men with an average age of 64.9 years (21–84 years). Results: We had 100% technical success. Hospital mortality occurred in one (1.4%) patient. Follow-up was available for 39 patients at a median time of 26.5 months (1–69 months). We had 12 (8% [5/39]) complications: endoleak type II in 2 cases, chimney endoleak in 2 other cases, and 1 case of retrograde dissection. The late mortality rate was 10.2% (4/39). Late computed tomography scans' control was satisfying for acute dissections treated in emergency with stent graft and localized dissections treated with MLS. Regarding the dissecting aneurysms, the false lumen was patent in the abdominal aorta in eight cases with dilatation of the celiac aorta in four cases. Conclusion: Endovascular treatment has remarkably improved the prognosis of type B aortic dissections; however, long-term monitoring is mandatory.



Publication History

Article published online:
11 May 2021

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