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Mastering Endovascular Techniques Chapter 63
Endovascular Management of Acute Aortic Dissection

This video examines the endovascular management of acute aortic dissection, a critical emergency where a tear in the inner aortic wall allows blood to create a dangerous secondary channel known as a false lumen. To assist clinicians in decision-making, the source details various classification systems based on the location of the tear, the duration of the condition—ranging from hyperacute to chronic—and the severity of symptoms, such as life-threatening malperfusion or rupture. While traditional surgery remains the standard for type A cases, the text highlights the evolution of Thoracic Endovascular Aortic Repair (TEVAR) as a primary, less invasive treatment for complicated type B dissections. Finally, the authors explore specialised endovascular techniques like PETTICOAT and STABILISE, which utilise stents and balloons to obliterate the false lumen and encourage favourable aortic remodelling for better long-term patient outcomes.