Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (11): 1-7.doi: 10.6040/j.issn.1671-7554.0.2024.0268

• Personalized Diagnosis and Treatment of Cardiovascular Diseases •    

Research progress in neurological complications of non-A non-B aortic dissection treated with different endovascular techniques

LI Chenshu1, WANG Ruihua1,2, LU Xinwu2   

  1. 1. Department of Vascular Surgery, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou 239001, Anhui, China;
    2. Department of Vascular Surgery, Shanghai Ninth Peoples Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Published:2024-11-25

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Abstract: Non-A non-B aortic dissection is a critical cardiovascular condition that often requires early and aggressive intervention. Due to its involvement of major branches of the aortic arch, it frequently leads to neurological complications. Currently, there is no consensus on the optimal endovascular treatment for non-A non-B aortic dissection. The main endovascular techniques include the chimney technique, fenestration technique, and branched stent grafts. This paper reviews the use of these techniques in relation to postoperative neurological complications. It was found that various fenestration techniques may be associated with a lower incidence of perioperative stroke, while the chimney technique may reduce the incidence of perioperative spinal cord ischemia. The number of stents implanted for aortic arch branch reconstruction is positively correlated with the incidence of stroke. With regard to surgery-related neurological complications, fenestration or chimney technology combined with endovascular repair for non-A non-B aortic dissections may have some advantages, but these conclusions still need to be validated with large sample data. Moreover, the perioperative neurological complications of non-A non-B aortic dissection are related to multiple factors, and the exact mechanism of which has not yet been fully elucidated. Furthermore, the impact of related risk factors and preventive measures on prognosis requires further in-depth investigation.

Key words: Aortic dissection, Non-A non-B, Thoracic endovascular aortic repair, Fenestration, Cerebral stroke

CLC Number: 

  • R654.3
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