AORTIC DISSECTION: DIAGNOSTIC AND THERAPEUTIC STRATEGIES - A LITERATURE REVIEW
DOI:
https://doi.org/10.47820/recima21.v5i3.4963Keywords:
Aortic dissection. Diagnosis. Treatment. Management and Multidisciplinary.Abstract
Aortic dissection is a medical emergency with high mortality, requiring early diagnosis and immediate intervention. Advanced imaging methods and pharmacological therapies have revolutionized the management of the disease. Objective: To conduct a comprehensive literature review of the diagnostic and therapeutic strategies employed in aortic dissection. Methods: Original studies and reviews published in the last 15 years, with specific inclusion criteria, were selected and several electronic databases were searched. Results and Discussion: Advances in diagnosis, such as CTA, have improved the accuracy of lesion detection. Pharmacological treatment, especially with beta-blockers and calcium channel blockers, remains essential. The endovascular approach has emerged as a viable alternative to open surgery, with lower morbidity and mortality and faster recovery. Management challenges include the lack of consensus on guidelines and the identification of risk subgroups. Conclusion: The review highlights the importance of a multidisciplinary approach in the diagnosis and treatment of aortic dissection. It highlights the continued need for research to improve clinical outcomes and promote education about the signs and symptoms of the disease. Technological advances, such as gene therapy, offer promising prospects for future management of the condition.
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