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Semin intervent Radiol 2011; 28(1): 010-023
DOI: 10.1055/s-0031-1273936
© Thieme Medical Publishers

Endovascular Management of Acute Aortic Syndromes

Parag J. Patel1 , William Grande1 , Robert A. Hieb1
  • 1Division of Vascular and Interventional Radiology, Department of Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, Milwaukee Wisconsin
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Publikationsdatum:
22. März 2011 (online)

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ABSTRACT

The term “acute aortic syndrome” (AAS) refers to a spectrum of life-threatening thoracic aortic pathologies including intramural hematoma, penetrating atherosclerotic ulcer, and aortic dissection. Clinically, patients often present with characteristic aortic pain. AAS often leads to aortic rupture. Therefore, recognition of this condition, its prompt diagnosis, and timely treatment is crucial to obtain clinical success and improved overall survival. The management of AAS, however, remains a therapeutic challenge. Endovascular strategies have gained wide acceptance and now represent a minimally invasive alternative to traditional open surgery. Several studies have shown endovascular repair of varying thoracic aortic pathologies to be technically feasible with fewer complications than open surgery. In this review, the authors discuss AAS pathology and its management, with particular attention to the current role of endovascular aortic repair and its treatment.

KEYWORDS

Penetrating atherosclerotic ulcer - intramural hematoma - aortic dissection

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Parag J PatelM.D. 

Assistant Professor of Radiology, Vascular and Interventional Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital

9200 W Wisconsin Avenue, Milwaukee, WI 53226

eMail: papatel@mcw.edu