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

...ocument Assessment

...ication of Thoracic Aortic Dissection Although...


...SVS/STS chronicity classification of a...


...ortic DissectionA, Three-dimensional computed...


...gure 2. Type B aortic dissectionType B aortic diss...


...ramural Hematoma, descending aortaNo...


...mural Hematoma, ascending aortaExample of the gr...


...SVS/STS Classification SystemSociety...


...tic dissection with an entry tear in zone 0...


...gure 7. SVS/STS Aortic Dissection Classificat...


...orting of Aortic Dissections are based on: L...


...8. B1,9 dissectionAn aortic dissection with an e...


...9 dissectionExample of an aortic dissection w...


...erosclerotic Ulcer and Intramural Hematoma...


...le II. Aortic dissection acuityHaving trouble v...


...eased detail available from the SVS/STS classif...


...s and Risk FactorsHaving trouble viewing table?...


...sentation The most common presenting sympt...


...al numeric rating pain scaleHaving trouble viewin...


...e Kidney Injury Network (AKIN) classificat...


...ure 11Evolution of aortic dissection flap mor...


...Renal MalperfusionA, Malperfusion by s...


...13. Reporting Standards for Type B Aortic Dissecti...


...ke severity: modified Rankin scale T...


...Spinal cord injury: modified Tarlov scoring sca...


...Complications:Having trouble viewing...


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


...tic MeasurementsLuminal configurations...


...rigraft and false lumen leaksA, Type IA entry flow...


...low-Up Imaging (Figures 14&16): A signi...


...tersHaving trouble viewing table? Expand...


Document Management

...ument Management...

...gement Strategy All aspects of patient manag...


...Having trouble viewing table? Expand...