John Bao Minh Chung MD, Presenter: Nothing to Disclose

Avnesh Sinh Thakor MBBCHIR, PhD, Abstract Co-Author: Nothing to Disclose

Richard James Cormack MD, Abstract Co-Author: Nothing to Disclose

Roshni Pravin Patel MRCS, BSc, Abstract Co-Author: Nothing to Disclose

Darren Klass MD, PhD, Abstract Co-Author: Nothing to Disclose

1.) The reader will recognize what constitutes a complicated aortic dissection. 2.) The reader will be aware of the treatment algorithm to manage patients presenting with complicated aortic dissections. 3.) The reader will understand the methodology of treating such patients endovascularly using a combination of proximal covered stents as well as non-covered dissection stents.

Introduction: - Define what constitutes a complicated aortic dissection; - Discuss the prevalence of this condition and the population cohort it usually affects; - Discuss morbidity/mortality associated with untreated complicated aortic dissection. Historical Treatment Algorithm:  - Outline initial medical management, followed by consideration for surgery;  - Discuss traditional surgical repair and outcomes from surgical treatment. Endovascular Management Algorithm:  - Outline requisite steps to stabilize patient and evaluate vascular anatomy;  - Discuss how to size covered stent grafts as well as non-covered stents;  - Step-by-step guide to placement of a dissection endovascular prosthesis;  - Discuss our center’s experience with a small patient cohort (n=6 at time of abstract submission), including clinical presentation, therapy provided, and short to medium term outcomes.

http://abstract.rsna.org/uploads/2014/14014153/14014153_tx3q.pdf

Chung, J, Thakor, A, Cormack, R, Patel, R, Klass, D, Endovascular Management of Complicated Aortic Dissections.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14014153.html