# Beyond Uncertainty: Establishing the Oda Strategy for the Treatment of Acute Aortic Dissection

## TL;DR

This review highlights 90 years of progress in treating acute aortic dissection, emphasizing strategies to improve survival and avoid unnecessary treatments.

## Contribution

The paper introduces the Oda strategy as a rational approach to optimize treatment and reduce over- or under-treatment.

## Key findings

- Treatment strategies have focused on increasing survival rates during the acute phase.
- The Oda strategy aims to prevent late-stage thoracoabdominal aortic replacements.
- The review emphasizes the importance of rational treatment for patients.

## Abstract

Significant progress has been achieved in the treatment of acute aortic dissection over the past 90 years, following the first surgical intervention. This review pays tribute to the dedication of pioneers and innovators who developed advanced medical devices and therapeutic strategies to address this challenging condition. While navigating uncertainties in treatment optimization, the primary focus of the therapeutic strategies has been to save lives by increasing survival rates during the acute phase and to prevent aorta-related lethal events and late-stage thoracoabdominal aortic replacements. From a neutral standpoint, this review traces over 90 years of progress in treating acute aortic dissection. We hope that as many patients as possible will receive treatment rationally, without over- or under-treatment.