Type B Aortic Dissection: Perspectives, Techniques, and Decision-Making

By Christoph A. Nienaber, MD, PhD, FESC, FAHA, and Grace J. Wang, MD, MSCE, FACS

Dissection Retrospective: Progress Since the INSTEAD Trial

Lessons learned from the first randomized trial comparing TEVAR and optimal medical therapy for type B aortic dissection.

By Christoph A. Nienaber, MD, PhD, FESC, FAHA

The STABILISE Technique for Treatment of Acute/Subacute Type B Dissections

The remodeled single-channeled aorta may prevent aneurysmal degeneration.

By Germano Melissano, MD, and Daniele Mascia, MD

Embolization Techniques for False Lumen Treatment

Use of the balloon fracture fenestration technique or direct embolization of the false lumen to obtain adequate seal and false lumen obliteration during TEVAR.

By Patrick R. Vargo, MD; Adam Daly, MD; and Eric E. Roselli, MD

Managing Ruptured Acute and Chronic Aortic Dissections

Endovascular options in the acute setting.

By Ryan Gouveia e Melo, MD; Tarek Hamwi, MD; and Nikolaos Tsilimparis, MD, PhD, FEBVS, FACS

The Importance of “Backdoor” Treatment to Close Distal Entry Tears in Chronic Type B Aortic Dissection

The evolution of the candy-plug and knickerbocker techniques for distal false lumen occlusion, intervention timing considerations, and patient anatomy requirements.

By Konstantinos Spanos, MD, MSc, PhD; Fiona Rohlffs, MD, PhD; Giuseppe Panuccio, MD, PhD; Ahmed Eleshra, MD; and Tilo Kölbel, MD, PhD

Medical Management of Acute and Chronic Type B Aortic Dissection

A review of the clinical presentation and acute and long-term medical management of TBAD, including long-term use of fluoroquinolones.

By Christina L. Fanola, MD, MSc, and Eric Isselbacher, MD, MSc

Panel Discussion: Decision-Making for Type B Aortic Dissection

Device choices and approaches to de novo TBAD presenting with malperfusion or an enlarging thoracoabdominal aortic diameter after TEVAR, thoughts on whether to intervene on the false lumen, and surveillance protocols after TEVAR.

With Tilo Kölbel, MD, PhD; Tara M. Mastracci, MD, FRCSC; Christoph A. Nienaber, MD, PhD, FESC, FAHA; Germano Melissano, MD; Daniele Mascia, MD; and Eric E. Roselli, MD, FACS

Ask the Experts: What Dedicated Radial Technologic Advancement Would Be Most Helpful in Your PAD Practice?

Operators discuss their desire for devices of adequate sheath size and length for transradial access for peripheral interventions, as well as the need for covered stents, drug-coated balloons, and drug-eluting stents suitable for transradial delivery.

With Robert J. Beaulieu, MD; William E. Beckerman, MD, FSVS, FACS, RPVI; and Yulanka Castro-Dominguez, MD

Ask the Experts: What Are the Most Common Obstacles to Success During Radial Access, and How Can They Be Avoided?

A multidisciplinary panel shares how experience, knowledge of anatomy and available equipment, and careful periprocedural planning can prepare operators for encountering challenges during radial access.

With Anastasia Hadjivassiliou, MBBS, BSc, MRCP, FRCR, FRCPC; Anna Luisa Kühn, MD, PhD; and David O’Connor, MD

Engineer’s Corner: Perspectives in Venous Stenting

Medical device engineers discuss how their efforts translate to venous practice, key lessons learned in venous stent mechanics, what they’re working on to help improve patient outcomes, and their most important takeaways to interventionalists regarding venous stents.

With Paul Chouinard, BSBME; Conor Dillon, MSc; Sylvie Lombardi, MScA; and Jeffrey Vogel, PhD

An Interview With Kak Khee Yeung, MD, PhD, FEBVS

Dr. Yeung discusses the building of a biobank with live patient cells for understanding AAA pathophysiology, capabilities of AI for personalized medicine in vascular care, the importance of enjoying your work, and more.