Discussing on the Aortic Coverage in Type B Aortic Dissection Treatment: A Comprehensive Scoping Review

J Clin Med. 2024 Jul 2;13(13):3897. doi: 10.3390/jcm13133897.

Abstract

Objective: The objective of this study is to investigate and address the question surrounding the determination of the optimal endograft length of coverage during TEVAR for type B aortic dissection (TBAD), with a particular emphasis on the distal landing zone (DLZ).

Data sources: MEDLINE, Scopus, and Web of Science databases were used.

Methods: The PRISMA-ScR statement was followed.

Results: Several variables can contribute to the length of coverage during TEVAR in TBAD patient. Baseline patient's characteristics, TBAD-related features, the type of endoprosthesis, and postoperative graft behaviour may contribute to the choice of coverage.

Conclusions: No robust data have been published regarding the optimal length of TEVAR. Therefore, reporting the percentage of covered aorta and improving computational studies should be valorised to improve postoperative outcomes.

Keywords: TEVAR; aortic dissection; scoping review; thoracic aorta.

Publication types

  • Review

Grants and funding

This study received no external funding.