Recommendations for the Management of Acute Type B Aortic Dissection

Referenced studies that support the recommendations are summarized in the Online Data Supplement.

COR	LOE	RECOMMENDATIONS
1	B-NR	1. In all patients with uncomplicated acute type B aortic dissection, medical therapy is recommended as the initial management strategy.1–3
1	C-LD	2. In patients with acute type B aortic dissection and rupture or other complications (Table 27), intervention is recommended.4–6
1	C-EO	In patients with rupture, in the presence of suitable anatomy, endovascular stent grafting, rather than open surgical repair, is recommended.
2a	C-LD	In patients with other complications, in the presence of suitable anatomy, the use of endovascular approaches, rather than open surgical repair, is reasonable.4–6,7
2b	B-R	3. In patients with uncomplicated acute type B aortic dissection who have high-risk anatomic features (Table 28), endovascular management may be considered.8,9