Reporting Standards for Type B Aortic Dissections

Publication Date: January 27, 2020

Key Points

Key Points

  • This Pocket Guide summarizes a new classification system for practical use and reporting of type B aortic dissection including the aortic arch.
  • In addition, the Society for Vascular Surgery and the Society of Thoracic Surgeons (SVS/STS) has provided improved standards for reporting type B aortic dissection (TBAD), with particular attention to those attributes of TBAD that would appear to have an impact on outcomes.

Introduction

  • Management of aortic dissection has evolved over time and now includes medical, surgical, and endovascular therapies performed by several specialties, including vascular surgery, cardiothoracic surgery, interventional radiology, and cardiology. There has been an explosion of literature in multiple specialty journals regarding presentation, treatment, and outcomes. Consequently, SVS/STS has responded to the need for a common, updated, inclusive and systematized structure for the reporting of TBAD and, by extension, management of aortic dissection in general. Particular attention has been paid to those attributes of management that would appear to have an impact on outcomes and therefore augment improvements through a common, comprehensive database.

Document Assessment

...cument Assessment

...atomic Classification of Thoracic Aortic...


...S/STS chronicity classification of aortic disse...


.... Aortic DissectionA, Three-dimensional comp...


...aortic dissectionType B aortic dissection (TBAD)...


...ntramural Hematoma, descending aortaNonc...


Figure 4. Intramural Hematoma, ascen...


...SVS/STS Classification SystemSociety for Vascular...


...n aortic dissection with an entry tear in zone...


...e 7. SVS/STS Aortic Dissection Classific...


...c Reporting of Aortic Dissections are based o...


...ure 8. B1,9 dissectionAn aortic dissect...


...dissectionExample of an aortic dissection with an...


...10. Atherosclerotic Ulcer and Intra...


Table II. Aortic dissection acuityHav...


...The increased detail available from the SVS/...


...k FactorsHaving trouble viewing table...


...tion The most common presenting...


...le III. Verbal numeric rating pain scaleH...


...e IV. Acute Kidney Injury Network (A...


...ion of aortic dissection flap morphology ov...


...gure 12. Renal MalperfusionA, Malper...


.... Reporting Standards for Type B Ao...


...ble V. Stroke severity: modified Rankin s...


.... Spinal cord injury: modified Tarlov...


...tcomes and Complications:Having trouble...


...Stent graft-induced new entry (SINE) tea...


...ic MeasurementsLuminal configurations of aor...


...Perigraft and false lumen leaksA, Type IA entry f...


...ocument Follow-Up Imaging (Figures 14&1...


...ng ParametersHaving trouble viewing table?...


Document Management

...ument Management...

...ial Management Strategy All aspe...


...tHaving trouble viewing table? Expand...