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CardioVascular and Interventional Radiology

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01.10.2011 | Review

Management of Acute Aortic Syndrome and Chronic Aortic Dissection

verfasst von: Ian M. Nordon, Robert J. Hinchliffe, Ian M. Loftus, Robert A. Morgan, Matt M. Thompson

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 5/2011

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Abstract

Acute aortic syndrome (AAS) describes several life-threatening aortic pathologies. These include intramural hematoma, penetrating aortic ulcer, and acute aortic dissection (AAD). Advances in both imaging and endovascular treatment have led to an increase in diagnosis and improved management of these often catastrophic pathologies. Patients, who were previously consigned to medical management or high-risk open surgical repair, can now be offered minimally invasive solutions with reduced morbidity and mortality. Information from the International Registry of Acute Aortic Dissection (IRAD) database demonstrates how in selected patients with complicated AAD the 30-day mortality from open surgery is 17% and endovascular stenting is 6%. Despite these improvements in perioperative deaths, the risks of stroke and paraplegia remain with endovascular treatment (combined outcome risk 4%). The pathophysiology of each aspect of AAS is described. The best imaging techniques and the evolving role of endovascular techniques in the definitive management of AAS are discussed incorporating strategies to reduce perioperative morbidity.

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Titel: Management of Acute Aortic Syndrome and Chronic Aortic Dissection
verfasst von: Ian M. Nordon
Robert J. Hinchliffe
Ian M. Loftus
Robert A. Morgan
Matt M. Thompson
Publikationsdatum: 01.10.2011
Verlag: Springer-Verlag
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 5/2011
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-010-0028-3

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