4.0 Article

Malperfusion after Aortic Dissection-Management and Techniques

Journal

ZENTRALBLATT FUR CHIRURGIE
Volume -, Issue -, Pages -

Publisher

GEORG THIEME VERLAG KG
DOI: 10.1055/a-2058-9080

Keywords

aortic surgery; aortic stent prosthesis; aortic dissection; Malperfusion; TEVAR

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Malperfusion is a common complication of aortic dissection, which increases the mortality of this deadly disease. Effective treatment requires a timely diagnosis based on clinical findings and available instruments, understanding the disease's pathomechanism, recognizing recommended therapy options, and being aware of diagnostic and therapeutic innovations. The treatment decision should be individualized. This study focuses on malperfusion after aortic dissection, considering it as a separate disease and providing important information for efficient therapy decisions in clinical practice.
Malperfusion is a common complication of aortic dissection and further increases this deadly disease's mortality. An effective treatment strategy requires a timely diagnosis based on the clinical findings and the available instruments, understanding the disease's pathomechanism, recognising the therapy options recommended by the guidelines, and the diagnostic and therapeutic innovations of the area of research. The final treatment decision should be patient- and case-specific. In this work, we have considered malperfusion after aortic dissection, not only as a complication of aortic dissection but as a separate disease and summarise important information that can contribute to efficient therapy decisions in everyday clinical practice.

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