From: Endovascular strategies for post-dissection aortic aneurysm (PDAA)
 | Advantages | Disadvantages |
---|---|---|
Trans-TL Repair | ||
 TEVAR | •Exclude tears above the celiac trunk •Reduce flow and pressure of the FL | •unable to exclude the entry tears in visceral artery segment of abdominal aorta •Distal residual tears may result in negative remodeling |
 PETTICOAT | •Expand distal TL •Stabilization of dissecting initial flap •Effective in non-chronic AD | •The risk aneurysm formation •Distal residual tears untreated |
 STABILISE and Knickbocker | •Create a single lumen to block distal backflow | •The risk of aortic rupture |
 Parallel stent-graft technique | •Flexible combination •Suitable for a variety of anatomy •Suitable for emergency and selective operation | •Endoleak •Recurrent aortic dissection •Chimney stent occlusion •Cost expensive |
 Branched and fenestrated stent-graft | •Suitable for uncomplicated anatomical conditions •Widely used in PDAA | •Difficult in TL stenosis cases •Difficult in reconstruction of visceral artery totally originated from FL. |
 MBS/MFM | •Restores flow perfusion •Decompress the FL | •Visceral artery ischemia •Difficulty in re-intervention |
Trans-FL Repair | ||
 FL embolization | •Avoid excessive coverage of the TL of aorta •Reduces the risk of spinal cord ischemia •A complementary and auxiliary therapeutic measure | •No special devices for FL embolism |
 Candy plug | •Promote the thoracic aorta segment aortic remodeling | •No effect for abdominal FL •The potential risk of aortic rupture |