Management of acute aortic dissection

被引：642

作者：

Nienaber, Christoph A. ^{[1
]}

Clough, Rachel E. ^{[2
]}

机构：

[1] Univ Rostock, Univ Heart Ctr Rostock, D-18055 Rostock, Germany

[2] Kings Coll London, Cardiovasc Imaging Dept, London WC2R 2LS, England

来源：

LANCET | 2015年 / 385卷 / 9970期

关键词：

GROWTH-FACTOR-BETA; INTERNATIONAL REGISTRY; FALSE LUMEN; ENDOVASCULAR TREATMENT; B DISSECTION; THORACIC AORTA; D-DIMER; COMPUTED-TOMOGRAPHY; NEUROLOGIC DEFICIT; DESCENDING AORTA;

D O I：

10.1016/S0140-6736(14)61005-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A new appraisal of the management of acute aortic dissection is timely because of recent developments in diagnostic strategies (including biomarkers and imaging), endograft design, and surgical treatment, which have led to a better understanding of the epidemiology, risk factors, and molecular nature of aortic dissection. Although open surgery is the main treatment for proximal aortic repair, use of endovascular management is now established for complicated distal dissection and distal arch repair, and has recently been discussed as a pre-emptive measure to avoid late complications by inducing aortic remodelling.

引用

页码：800 / 811

页数：12

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