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. 2024 Mar 26;17(2):120–127. doi: 10.3400/avd.ra.24-00012

Table 2 Interventions for type B aortic dissection by indication and timing.

Disease stage (from onset) Hyperacute phase (≤48 hr) Acute phase (≤14 D) Subacute phase (≤3 M) Early chronic phase (<12 M) Chronic phase (≥1 yr)
Indication Malperfusion and rupture (impending rupture) Refractory hypertension, recurrent and persistent thoracodorsal pain, and large aortic diameter (≥40 mm) Hemorrhagic pleural effusion, malperfusion on imaging, re-hospitalization, entry on the lesser curvature side, false lumen diameter >22 mm False lumen dilatation and aneurysm formation
Definition before 2000 Complicated Uncomplicated
IRAD definition (broad sense) Complicated Uncomplicated
SVS/STS reporting standard Complicated (Uncomplicated) high-risk feature N/A
Invasive treatment 1st: TEVAR (if TEVAR is not possible, then fenestration is permitted for malperfusion) TEVAR 1st: graft replacement
If endovascular treatment is not possible or ineffective, open surgery (graft replacement or fenestration) If graft replacement is not possible or high risk, then TEVAR

IRAD: International Registry of Acute Aortic Dissection; SVS: Society for Vascular Surgery; STS: Society of Thoracic Surgeons; N/A: not applicable; TEVAR: thoracic endovascular aortic repair