Reporting Standards for Type B Aortic Dissections
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 Assessme...
...omic Classification of Thoracic Aortic Dis...
...ble I. SVS/STS chronicity classification of aorti...
...DissectionA, Three-dimensional computed to...
...2. Type B aortic dissectionType B aortic dissecti...
...tramural Hematoma, descending aortaNoncont...
.... Intramural Hematoma, ascending ao...
...re 5. SVS/STS Classification SystemSoci...
...igure 6An aortic dissection with an entry...
...SVS/STS Aortic Dissection Classificatio...
...Reporting of Aortic Dissections are bas...
...igure 8. B1,9 dissectionAn aortic dissectio...
...9. B0,9 dissectionExample of an aorti...
...therosclerotic Ulcer and Intramura...
...able II. Aortic dissection acuityHavi...
...The increased detail available from...
...FactorsHaving trouble viewing table? Expand...
...ion The most common presenting sy...
...bal numeric rating pain scaleHaving trouble...
...le IV. Acute Kidney Injury Network (AKIN) clas...
...11Evolution of aortic dissection flap morpho...
Figure 12. Renal MalperfusionA, Malperfusio...
...porting Standards for Type B Aortic Diss...
...ke severity: modified Rankin scale The sca...
.... Spinal cord injury: modified Tarlov scoring...
...tcomes and Complications:Having tro...
...14. Stent graft-induced new entry (SINE) te...
Figure 15. Aortic MeasurementsLumina...
...raft and false lumen leaksA, Type IA entry flow is...
...ment Follow-Up Imaging (Figures 14&16): A...
...ParametersHaving trouble viewing table? Exp...
Document Management
Document Manage...
...nt Strategy All aspects of patient mana...
AspectHaving trouble viewing table? Expand...