In light of the morbidity and mortality associated with open repair of complicated acute type B dissection, endoluminal approaches provide an attractive option; however, the challenges of accurate placement within an angulated arch, size of the delivery system, and uncertainty regarding long-term durability have been cited as reasons for caution. This review examines the current literature regarding acute type B dissection and details the methods and potential pitfalls in endovascular management of these complex pathologies.
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