The treatment of AD with complications like rupture and malperfusion has changed overtime. Currently, stents are being the first line therapy. Professor Mussa discusses the indications for stenting or endovascular thoracic repair (TEVAR)
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So, the treatment options for patients with complicated aortic dissection has changed over time. Nowadays, most patients with complicated aortic dissection, that is type B aortic dissection, gets stents, and these stents tend to fix the immediate problem, meaning inadequate blood flow to the intestine or the kidney or the legs, and that avoids them, a big open operation that back many years ago used to have a high complication rate. For patients with type A aortic dissection, which is normally complicated, those patients almost always need to go immediately to the operating room to fix their aortic dissection.
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