Natural history and long-term outcomes of medically managed Type B intramural hematoma.
Venkata Vineeth VaddavalliParvathi B WilkinsMelinda S SchallerJonathan J MorrisonFahad ShujaJill J ColglazierBernardo C MendesTodd E RasmussenManju KalraRandall R DeMartinoPublished in: Journal of vascular surgery (2024)
Although many patients with Type B IMH managed medically stabilize or regress, progression or need for intervention can occur in up to 40% of cases. This is associated with the presence of aneurysm, dissection, and IMH thickness. Long-term follow-up is mandatory as late interventions occur, particularly for higher risk patients.