Management of acute aortic dissection
Management of acute aortic dissection
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DOI：
10.1016/s0140-6736(14)61005-9
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发表时间：
2015-02-28
期刊：
影响因子：
168.9
通讯作者：
Clough, Rachel E.
中科院分区：
文献类型：
--
作者：
Nienaber, Christoph A.;Clough, Rachel E.
由于诊断策略（包括生物标志物和影像学）、内移植物设计和手术治疗的最新发展，使人们更好地了解主动脉夹层的流行病学、危险因素和分子性质，因此对急性主动脉夹层的治疗进行新的评估是及时的。虽然开放手术是近端主动脉修复的主要治疗方法，但血管内治疗现已应用于复杂的远端夹层和远端弓修复，并且最近已被讨论作为一种预防措施，通过诱导主动脉重塑来避免晚期并发症。
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.