Thoracic Endovascular Repair for Acute Complicated Type B Aortic Dissections

In this retrospective cohort study, Dr Ehrlich and his colleagues reported excellent early and long-term results of thoracic endovascular aortic repair (TEVAR) for 55 high-risk patients with life-threatening acute complicated type B aortic dissection. The mean age of patients was 52 ± 13 years. The indications for TEVAR included malperfusion (58%), aortic rupture (18%), or persistent untreatable pain with true lumen reduction or rapid aortic diameter enlargement (24%). The technical success was 91% and overall in-hospital mortality rate was 9%. At 5 years, survival was 75%, with 77% freedom from aorta-related death and 63% freedom from reintervention.