Implications of Aortic Remodeling on Reintervention and Survival After Endovascular Repair of Chronic Type B Aortic Dissection With Aneurysm

Controversy exists surrounding thoracic endovascular aortic repair (TEVAR) of chronic type B aortic dissection (cTBAD) because of concerns about durability. Entry tear coverage to induce false lumen (FL) thrombosis is thought to be an important determinant of subsequent aneurysm regression; however, septum compliance and distal re-entry tear retrograde FL perfusion coalesce to promote a dynamic remodeling environment between the true lumen (TL) and FL. There is a paucity of literature describing the influence of early remodeling events on subsequent risk of reintervention and survival for cTBAD.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research