ObjectiveTo elucidate the crucial role of hemodynamics in the diagnosis and management of Stanford type B aortic dissection (TBAD). MethodA comprehensive review of current literature was conducted to systematically analyze the hemodynamic characteristics of TBAD and the changes in key hemodynamic parameters following thoracic endovascular aortic repair (TEVAR), as well as their association with false lumen patency, thrombosis, and aortic remodeling. ResultsThe onset and prognosis of TBAD exhibit distinct hemodynamic features. TEVAR, by sealing the proximal entry tear, significantly reduces false lumen pressure and flow velocity, creating a hemodynamic environment conducive to thrombosis. Computational fluid dynamics simulations reveal that factors such as stent-graft configuration and residual tears directly influence the process of false lumen thrombosis and aortic remodeling outcomes by altering wall shear stress and flow patterns. Hemodynamic parameters can serve as important indicators for evaluating surgical efficacy and predicting long-term complications. ConclusionsHemodynamic analysis is essential for understanding TBAD progression and the effectiveness of TEVAR. Establishing a systematic, patient-specific hemodynamic assessment system holds significant clinical value for achieving individualized surgical planning, precise postoperative management, and prognostic evaluation, representing an important direction for improving long-term outcomes in TBAD patients.