Management of Type B Aortic Dissection

TEVAR is indicated for complicated hyperacute, acute, or subacute TBADs with rupture and/or malperfusion and favorable anatomy for TEVAR. (I, B-NR)

A stepwise approach to the evaluation and treatment of acute/subacute uncomplicated TBAD should be applied that includes identification of the primary entry tear site location, defining the proximity and distance of the dissection to the LSA, calibration of the maximum orthogonal aortic diameter, and confirmation of the lack of any organ malperfusion or other indications of complicated disease. (I, B-NR)