This paper shows that landing zone optimization using aortic septotomy resulted in a much higher positive aortic remodeling rate, whereas standalone TEVAR outcomes without adjunctive procedures for cTBAD were unfavorable. The authors show that routine aortic septotomy may have a positive effect on long-term cTBAD survival and expand TEVAR candidacy.
Aortic Septotomy to Optimize Landing Zones During Thoracic Endovascular Aortic Repair for Chronic Type B Aortic Dissection
Source: Journal of Thoracic and Cardiovascular Surgery
Source URL: https://doi.org/10.1016/j.jtcvs.2021.07.049
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Author(s): Shinichi Fukuhara, MD, Minhaj S. Khaja, MD, MBA, David M. Williams, MD, Xhorlina Marko, MD, Bo Yang, MD, PhD, Himanshu J. Patel, MD, Karen M. Kim, MD, MSc