Speciality Endovascular Techniques
Library of the School of Health Sciences

2017-05-23

2017

Karagkiouzis Grigorios

Γεώργιος Γερουλάκος, Καθηγητής, Ιατρική σχολή, ΕΚΠΑ
Αχιλλέας Χατζηϊωάννου, Καθηγητής, Ιατρική σχολή, ΕΚΠΑ
Ιωάννης Κακίσης, Αναπληρωτής Καθηγητής, Ιατρική σχολή, ΕΚΠΑ

Σύνδρομο διαταραχής αιματώσεως στο διαχωρισμό αορτής τύπου Α. Ο ρόλος των ενδαγγειακών τεχνικών.

Greek

Malperfusion syndrome in type A aortic dissection. The role of endovascular techniques.

Objective: Malperfusion is a devastating complication of acute aortic dissection that is associated with high mortality rates. The objective of this study is to assess the optimal therapy in acute type A aortic dissection with malperfusion along with the arising role of endovascular techniques as part of an hybrid management strategy.
Materials and Methods: We performed electronic literature search of PubMed, EMBASE and Cochrane Library for articles in English using a number of key words.
Results: All identified studies support that combined endovascular reperfusion and traditional surgical therapy is associated with favorable results. In cases of severe ischemic complications, percutaneous endovascular reversal of malperfusion prior to open ascending aortic repair contributes to lower early mortality rates. We found no prospective randomized trials comparing surgical and combined approaches in the management of type A acute aortic dissection complicated with malperfusion syndrome.
Conclusions: Available evidence supports the presumption that implementation of a combined surgical and endovascular approach in the management of type A aortic dissection with malperfusion is a promising treatment option associated with effective reperfusion and improved patient outcomes.

Surgical specialties

Type A aortic dissection, Μalperfusion syndrome

No

0

No

20

19

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https://pergamos.lib.uoa.gr/uoa/dl/object/1519138