{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T09:16:02Z","timestamp":1790414162165,"version":"4.1.0"},"reference-count":36,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2013,8,22]],"date-time":"2013-08-22T00:00:00Z","timestamp":1377129600000},"content-version":"vor","delay-in-days":1847,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Cardiovascular Interventions"],"published-print":{"date-parts":[[2008,8]]},"DOI":"10.1016\/j.jcin.2008.04.009","type":"journal-article","created":{"date-parts":[[2008,8,20]],"date-time":"2008-08-20T15:01:30Z","timestamp":1219244490000},"page":"395-402","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":363,"title":["Complicated Acute Type B Dissection: Is Surgery Still the Best Option?"],"prefix":"10.1016","volume":"1","author":[{"given":"Rossella","family":"Fattori","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas T.","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Truls","family":"Myrmel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arturo","family":"Evangelista","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanna V.","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santi","family":"Trimarchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Lovato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Kische","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim A.","family":"Eagle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric M.","family":"Isselbacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph A.","family":"Nienaber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jcin.2008.04.009_bib1","first-page":"39","article-title":"Comparison of medical and surgical therapy for uncomplicated descending aortic dissection","volume":"82","author":"Glower","year":"1990","journal-title":"Circulation"},{"key":"10.1016\/j.jcin.2008.04.009_bib2","first-page":"7","article-title":"Prognosis of patients with medically treated aortic dissections","volume":"84","author":"Masuda","year":"1991","journal-title":"Circulation"},{"key":"10.1016\/j.jcin.2008.04.009_bib3","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1067\/mtc.2002.123131","article-title":"Is medical therapy still the optimal treatment strategy for patients with acute type B aortic dissections?","volume":"124","author":"Umana","year":"2002","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib4","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/0003-4975(92)90752-P","article-title":"Long-term experience with descending aortic dissection: the complication-specific approach","volume":"53","author":"Elefteriades","year":"1992","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib5","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1016\/S1010-7940(97)00091-2","article-title":"Early and late outcome of operated and nonoperated acute dissection of the descending aorta","volume":"11","author":"Gysi","year":"1997","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib6","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0003-4975(98)00533-5","article-title":"Operations for acute and chronic dissection: recent outcomes in regard to neurological deficit and early death","volume":"66","author":"Safi","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib7","doi-asserted-by":"crossref","first-page":"II275","DOI":"10.1161\/circ.100.suppl_2.Ii-275","article-title":"Toward the best treatment for uncomplicated patients with type B acute aortic dissection: a consideration for sound surgical indication","volume":"100","author":"Marui","year":"1999","journal-title":"Circulation"},{"key":"10.1016\/j.jcin.2008.04.009_bib8","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1016\/0003-4975(96)00105-1","article-title":"Selective management of acute type B aortic dissection: long-term follow-up","volume":"61","author":"Schor","year":"1996","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib9","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1016\/S1010-7940(97)00091-2","article-title":"Early and late outcome of operated and non-operated acute dissection of the descending aorta","volume":"11","author":"Gaze","year":"1997","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib10","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1056\/NEJM199412293312601","article-title":"Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms","volume":"331","author":"Dake","year":"1994","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2008.04.009_bib11","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/j.jvs.2004.07.008","article-title":"Endovascular treatment of thoracic aortic diseases: combined experience from the EUROSTAR and United Kingdom Thoracic Endograft registries","volume":"40","author":"Leurs","year":"2004","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib12","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jtcvs.2006.03.055","article-title":"Results of endovascular repair of the thoracic aorta with the Talent Thoracic stent graft: the Talent Thoracic Retrospective registry","volume":"132","author":"Fattori","year":"2006","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib13","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1056\/NEJM199905203402004","article-title":"Endovascular stentgraft placement for the treatment of acute aortic dissection","volume":"340","author":"Dake","year":"1999","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2008.04.009_bib14","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1056\/NEJM199905203402003","article-title":"Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement","volume":"340","author":"Nienaber","year":"1999","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2008.04.009_bib15","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1007\/s00270-001-0048-0","article-title":"Treatment of acute aortic type B dissection with stent-grafts","volume":"24","author":"Hausegger","year":"2001","journal-title":"Cardiovasc Intervent Radiol"},{"key":"10.1016\/j.jcin.2008.04.009_bib16","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1055\/s-2001-9909","article-title":"Endovascular stent-graft repair of acute thoracic aortic dissection\u2014early clinical experiences","volume":"49","author":"Tiesenhausen","year":"2001","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib17","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1016\/S1010-7940(02)00064-7","article-title":"Endoluminal stent-graft placement in patients with acute aortic dissection type B","volume":"21","author":"Hutschala","year":"2002","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib18","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/01.RVI.0000058321.82956.76","article-title":"Endovascular treatment of complicated type-B aortic dissection with stent-grafts: midterm results","volume":"14","author":"Lopera","year":"2003","journal-title":"J Vasc Interv Radiol"},{"key":"10.1016\/j.jcin.2008.04.009_bib19","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1093\/eurheartj\/ehi099","article-title":"Endovascular stent-graft treatment of aortic dissection: determinants of post-interventional outcome","volume":"26","author":"Eggebrecht","year":"2005","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcin.2008.04.009_bib20","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.ejvs.2005.10.016","article-title":"Evolving experience of percutaneous management of type B aortic dissection","volume":"31","author":"Fattori","year":"2006","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib21","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1001\/jama.283.7.897","article-title":"The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease","volume":"283","author":"Hagan","year":"2000","journal-title":"JAMA"},{"issue":"Suppl 1","key":"10.1016\/j.jcin.2008.04.009_bib22","first-page":"II312","article-title":"Clinical profiles and outcomes of acute type B aortic dissection in the current era: lessons from the International Registry of Aortic Dissection (IRAD)","volume":"108","author":"Suzuki","year":"2003","journal-title":"Circulation"},{"issue":"Suppl 1","key":"10.1016\/j.jcin.2008.04.009_bib23","first-page":"I350","article-title":"Long-term survival in patients presenting with type A acute aortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD)","volume":"114","author":"Tsai","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.jcin.2008.04.009_bib24","doi-asserted-by":"crossref","first-page":"2226","DOI":"10.1161\/CIRCULATIONAHA.106.622340","article-title":"Long-term survival in patients presenting with type B acute aortic dissection: insights from the International Registry of Acute Aortic Dissection","volume":"114","author":"Tsai","year":"2006","journal-title":"Circulation"},{"key":"10.1016\/j.jcin.2008.04.009_bib25","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.athoracsur.2006.08.007","article-title":"Simple risk models to predict surgical mortality in acute type A aortic dissection: the International Registry of Acute Aortic Dissection score","volume":"83","author":"Rampoldi","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib26","series-title":"Cardiovascular and Vascular Disease of the Aorta","first-page":"42","article-title":"Aortic dissection","author":"Svensson","year":"1997"},{"key":"10.1016\/j.jcin.2008.04.009_bib27","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/S0022-5223(19)33192-7","article-title":"Treatment of dissecting aneurysms of the aorta without surgery","volume":"50","author":"Wheat","year":"1965","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib28","doi-asserted-by":"crossref","first-page":"S842","DOI":"10.1016\/j.athoracsur.2006.10.081","article-title":"Update on outcomes of acute type B aortic dissection","volume":"83","author":"Estrera","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib29","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/0741-5214(88)90137-1","article-title":"Vascular complications associated with spontaneous aortic dissection","volume":"7","author":"Cambria","year":"1988","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib30","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1056\/NEJM195508252530807","article-title":"Acute dissecting aortic aneurysm","volume":"253","author":"Shaw","year":"1955","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2008.04.009_bib31","first-page":"1118","article-title":"Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically","volume":"92","author":"DeBakey","year":"1982","journal-title":"Surgery"},{"key":"10.1016\/j.jcin.2008.04.009_bib32","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1001\/archsurg.1990.01410180112018","article-title":"Fenestration revisited","volume":"125","author":"Elefteriades","year":"1990","journal-title":"Arch Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib33","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1148\/radiology.174.2.2136956","article-title":"Relief of mesenteric ischemia in type III aortic dissection with percutaneous fenestration of the aortic septum","volume":"174","author":"Williams","year":"1990","journal-title":"Radiology"},{"key":"10.1016\/j.jcin.2008.04.009_bib34","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1016\/S0022-5223(99)70248-5","article-title":"Percutaneous balloon fenestration and stenting for lifethreatening ischemic complications in patients with acute aortic dissection","volume":"117","author":"Slonim","year":"1999","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jcin.2008.04.009_bib35","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/S1051-0443(97)70619-5","article-title":"The dissected aorta: percutaneous treatment of ischemic complications\u2014principles and results","volume":"8","author":"Williams","year":"1997","journal-title":"J Vasc Interv Radiol"},{"key":"10.1016\/j.jcin.2008.04.009_bib36","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1016\/S1051-0443(07)61562-0","article-title":"Aortic intimal dehiscence: a complication of percutaneous balloon fenestration for aortic dissection","volume":"12","author":"Lookstein","year":"2001","journal-title":"J Vasc Intervent Radiol"}],"container-title":["JACC: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936879808002422?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936879808002422?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:55:44Z","timestamp":1761846944000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1936879808002422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,8]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,8]]}},"alternative-id":["S1936879808002422"],"URL":"https:\/\/doi.org\/10.1016\/j.jcin.2008.04.009","relation":{},"ISSN":["1936-8798"],"issn-type":[{"value":"1936-8798","type":"print"}],"subject":[],"published":{"date-parts":[[2008,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Complicated Acute Type B Dissection: Is Surgery Still the Best Option?","name":"articletitle","label":"Article Title"},{"value":"JACC: Cardiovascular Interventions","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcin.2008.04.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2008 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}