Abstract

Thoracic aortic dissection (AD) is one of the most common aortic emergencies. It can be fatal if not promptly diagnosed and treated. Intramural hematoma (IMH) of the aorta is recognized as distinct from classic (double-barreled) AD. IMH also frequently leads to aortic emergency, which can be fatal unless rapidly diagnosed and treated.Recently, thoracic endovascular aortic repair (TEVAR) has been used for the treatment of complications caused by AD. TEVAR is also a viable option for the treatment of complicated IHM. In this article, we review the details of TEVAR as treatment options for AD and IMH, including the indications for TEVAR, imaging, and follow-up.

Highlights

  • We review the details of thoracic endovascular aortic repair (TEVAR) for complicated aortic dissection (AD) and Intramural hematoma (IMH), including the indications for TEVAR, imaging, and follow-up

  • Endovascular repair strategy for patients with AD or IMH Usefulness of TEVAR for AD When TEVAR is conducted for AD, aortic stability is promoted by thrombosis of the false lumen and stentinduced expansion of the true lumen, and it mimics the healing process (Garzon et al 2005)

  • Endovascular techniques have recently been emerging as an alternative treatment for AD or IMH

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Summary

Introduction

Many reports show that TEVAR has been used for the treatment of complications caused by AD (Garzon et al 2005; Dake et al 1999). The role of TEVAR in the treatment of complicated IMH patients, remains controversial. Endovascular repair strategy for patients with AD or IMH Usefulness of TEVAR for AD When TEVAR is conducted for AD, aortic stability is promoted by thrombosis of the false lumen and stentinduced expansion of the true lumen, and it mimics the healing process (Garzon et al 2005).

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