Purpose: Review of the indications for, and the post-operative complications and mortality rates of endovascular techniques for treating abdominal aortic dissection (AAD). Methods: An electronic health database search was performed using PubMed, Medline and EMBASE for publica- tions on AAD. The search yielded multiple case reports, which were not included here, and 9 recent series with sufficient data for analysis. Results: The series included in the review reported data on a total of 208 patients. Of the AADs recorded, 182 were spontaneous (87.5%), 13 traumatic (6.25%) and 13 iatrogenic (6.25%), and the majority were of acute presentation (150 patients, 72%). The mean age of the patients was 62.6 years. Hypertension was the most prevalent risk factor (133 patients, 64%). Concurrent aortic aneurysms were more often associated with spontaneous dissection (56 patients, 27%). Open surgical repair was performed in 54 patients (26%), endovascular repair in 94 (45%) and the treatment was conservative in 60 (29%). The in-hospital mortality was 2% for the endovascular group, 5% for the open repair group and ~7% for those receiving conservative treatment. More complications were reported in the patients treated by open surgery than in those undergoing endovascular repair. Conclusions: Patients with AAD are at
Hellenic Journal of Surgery – Springer Journals
Published: Jun 4, 2018
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