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European Heart Journal Advance Access originally published online on November 22, 2005
European Heart Journal 2006 27(4):384-385; doi:10.1093/eurheartj/ehi665
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Endovascular treatment for thoracic aortic dissection: the better solution?

André Nevelsteen*

Department of Vascular Surgery, University Hospital Gasthuisberg, Herestraat 49, Leuven, Belgium

* Corresponding author. Tel: +32 16 344 339; fax: +32 16 344 616. E-mail address: andre.nevelsteen@eurheartj.org

This editorial refers to ‘Endovascular stent–graft placement in aortic dissection: a meta-analysis’{dagger} by H. Eggebrecht et al., on page 489

The first 10% of the full text of this article appears below.

The article of Eggebrecht et al.,1 might provide an important insight into the actual discussion on the preferred treatment for descending thoracic aortic dissection (Stanford type B). Indeed, treatment of descending aortic dissection continues indeed to be a challenge. What we do know for sure is that open surgery, particularly when performed under emergency conditions,2 remains associated with considerable mortality and morbidity rates. On the other hand, the ‘optimal’ medical treatment—the treatment of choice in the overwhelming majority of patients—has also been recognized to result in a far from attractive long-term prognosis.3

Eggebrecht et al. present a meta-analysis on endovascular prosthetic treatment of Stanford type B dissection for the period 1999–2004. Based on . . . [Full Text of this Article]


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Related articles in EHJ:

Endovascular stent–graft placement in aortic dissection: a meta-analysis
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EHJ 2006 27: 489-498. [Abstract] [FREE Full Text]  



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