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

...nt Assessment...

...natomic Classification of Thoracic Aortic Disse...


...I. SVS/STS chronicity classification of...


...tic DissectionA, Three-dimensional computed t...


...pe B aortic dissectionType B aortic dissection (...


...ure 3. Intramural Hematoma, descending aort...


...Intramural Hematoma, ascending aortaEx...


...gure 5. SVS/STS Classification SystemSociety for...


Figure 6An aortic dissection with an entry tea...


...igure 7. SVS/STS Aortic Dissection Classi...


...orting of Aortic Dissections are based o...


...igure 8. B1,9 dissectionAn aortic dissection...


...0,9 dissectionExample of an aortic dissectio...


...rosclerotic Ulcer and Intramural HematomaA...


.... Aortic dissection acuityHaving trouble viewing...


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


...es and Risk FactorsHaving trouble viewing...


...The most common presenting symptom...


...I. Verbal numeric rating pain scal...


...Kidney Injury Network (AKIN) classif...


...igure 11Evolution of aortic dissect...


.... Renal MalperfusionA, Malperfusion by st...


...gure 13. Reporting Standards for Type B Aortic Di...


...e V. Stroke severity: modified Rankin scale...


...I. Spinal cord injury: modified Tarlov scoring sc...


...mes and Complications:Having troub...


...ure 14. Stent graft-induced new entry (S...


...re 15. Aortic MeasurementsLuminal configu...


...erigraft and false lumen leaksA, T...


...llow-Up Imaging (Figures 14&16):...


...metersHaving trouble viewing table? Expand...


Document Management

...cument Management...

...nitial Management Strategy All aspects o...


...aving trouble viewing table? Expand...