The future of stenting in patients with type A aortic dissection: a systematic review

Harky, Amer ORCID: 0000-0001-5507-5841, Chan, Jeremy and MacCarthy-Ofosu, Beverly (2019) The future of stenting in patients with type A aortic dissection: a systematic review. JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 48 (1). 300060519871372-.

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Official URL: http://dx.doi.org/10.1177/0300060519871372

Abstract

Acute type A aortic dissection (ATAAD) carries high morbidity and mortality rates and is a clinical emergency. The reported mortality rate is 50% to 65% within the first 48 hours without surgical intervention. Open surgery therefore remains the gold standard management for ATAAD. However, in patients who are deemed unfit for surgery and where possible, endovascular repair offers a useful alternative to medical treatment alone or high-risk open surgical repair. Several case reports, case series, and retrospective studies have reported good outcomes following endovascular treatment. The endovascular option also has comparable early and late outcomes, favourable aortic remodelling, and satisfactory overall survival despite having a higher-risk patient cohort. However, stenting in patients with ATAAD undoubtedly still has several limitations and technical challenges.

Item Type:	Article
Uncontrolled Keywords:	Type A aortic dissection, stenting, open repair, endovascular repair, risk stratification, survival
Depositing User:	Symplectic Admin
Date Deposited:	21 Feb 2020 10:57
Last Modified:	19 Jan 2023 00:01
DOI:	10.1177/0300060519871372
Open Access URL:	https://doi.org/10.1177%2F0300060519871372
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3076022