Five-year results for endovascular repair of acute complicated type B aortic dissection

The authors report their results with 50 consecutive patients who underwent TEVAR for management of acute complicated type B dissection between July 2005 and September 2012. In-hospital and 30-day mortality were 0%. The rates of stroke, permanent paraplegia/paraparesis, and new-onset dialysis were 2%, 2%, and 4%, respectively. Survival at 5 and 7 years was 84%. Thirteen (26%) patients required a total of 17 reinterventions; six were performed using open techniques and 11 with endovascular or hybrid methods. The authors report excellent outcomes of TEVAR for acute complicated type B dissection. Aortic reinterventions were required in one-quarter of patients, but no aortic-related deaths were observed, confirming the importance of life-long surveillance by an experienced aortic referral center.