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
...Document Assessment...
...tomic Classification of Thoracic A...
...I. SVS/STS chronicity classification of...
...ic Dissection A, Three-dimensional compute...
Figure 2. Type B aortic dissection Type B aort...
...gure 3. Intramural Hematoma, descending ao...
.... Intramural Hematoma, ascending aorta Example o...
...gure 5. SVS/STS Classification System Societ...
...ic dissection with an entry tear in zo...
...re 7. SVS/STS Aortic Dissection Classification...
...rting of Aortic Dissections are bas...
...igure 8. B1,9 dissection An aortic dissection with...
...ure 9. B0,9 dissection Example of an...
...osclerotic Ulcer and Intramural Hematoma...
...rtic dissection acuity Uncomplic...
...increased detail available from the SVS/STS...
...s and Risk Factors Hypertension...
...resentation The most common presen...
...l numeric rating pain scale...
...IV. Acute Kidney Injury Network (AKIN) classif...
...11 Evolution of aortic dissection flap morpholo...
.... Renal Malperfusion A, Malperfusion by stat...
...13. Reporting Standards for Type B...
...e severity: modified Rankin scale The scale runs...
...VI. Spinal cord injury: modified Tar...
...Complications: Thirty-day/in...
...re 14. Stent graft-induced new entr...
...Aortic Measurements Luminal configurations of...
...erigraft and false lumen leaks A,...
...-Up Imaging (Figures 14&16): A signific...
...ging Parameters Dissection extent: Hea...
Document Management
...Docume...
...agement Strategy All aspects of patient...
...spect Medical management:...