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
...nt Assessment...
...omic Classification of Thoracic Aort...
...S chronicity classification of aortic dis...
...DissectionA, Three-dimensional computed tomogra...
...ype B aortic dissectionType B aortic dissection...
...tramural Hematoma, descending aortaNoncontrast-...
...igure 4. Intramural Hematoma, ascending aortaExamp...
...S/STS Classification SystemSociety for Vas...
...re 6An aortic dissection with an entr...
.... SVS/STS Aortic Dissection Classification S...
...eporting of Aortic Dissections are based on: L...
...ure 8. B1,9 dissectionAn aortic dissectio...
...igure 9. B0,9 dissectionExample of an ao...
...0. Atherosclerotic Ulcer and Intramural Hematoma...
...II. Aortic dissection acuityHaving t...
...The increased detail available from the S...
...isk FactorsHaving trouble viewing table? Expand...
...The most common presenting symptom...
...l numeric rating pain scaleHaving troubl...
...ute Kidney Injury Network (AKIN) classif...
...e 11Evolution of aortic dissection flap morphology...
...Renal MalperfusionA, Malperfusion by s...
...ting Standards for Type B Aortic D...
...ke severity: modified Rankin scale Th...
...le VI. Spinal cord injury: modified Tar...
...es and Complications:Having trouble viewing...
...Stent graft-induced new entry (SINE) tearStent...
...ic MeasurementsLuminal configurations of...
...Perigraft and false lumen leaksA, Ty...
...ent Follow-Up Imaging (Figures 14&16)...
...maging ParametersHaving trouble viewing tabl...
Document Management
Document Management
Initial Management Strategy All aspects of pa...
...trouble viewing table? Expand...