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 Assessment...
...atomic Classification of Thoracic Aortic...
Table I. SVS/STS chronicity classificatio...
Figure 1. Aortic DissectionA, Three-dimen...
...B aortic dissectionType B aortic dissection (TBA...
...mural Hematoma, descending aortaNoncontrast-enhanc...
.... Intramural Hematoma, ascending aort...
...ure 5. SVS/STS Classification SystemSociety for Va...
...n aortic dissection with an entry t...
...SVS/STS Aortic Dissection Classific...
...atomic Reporting of Aortic Dissections are base...
...re 8. B1,9 dissectionAn aortic dissection wit...
Figure 9. B0,9 dissectionExample of an ao...
...e 10. Atherosclerotic Ulcer and Intramu...
Table II. Aortic dissection acuityHav...
...he increased detail available from the SVS/STS cl...
Causes and Risk FactorsHaving trouble vie...
...The most common presenting symptom of...
...al numeric rating pain scaleHaving tr...
Table IV. Acute Kidney Injury Network (AK...
Figure 11Evolution of aortic dissection flap mo...
...al MalperfusionA, Malperfusion by s...
...3. Reporting Standards for Type B...
...V. Stroke severity: modified Rankin s...
...al cord injury: modified Tarlov scoring scaleH...
...mes and Complications:Having trouble viewing ta...
...ent graft-induced new entry (SINE) tearSt...
...ure 15. Aortic MeasurementsLuminal con...
...ure 16. Perigraft and false lumen leaksA, Type IA...
...ow-Up Imaging (Figures 14&16): A signi...
...ParametersHaving trouble viewing table? E...
Document Management
...nt Management...
...Management Strategy All aspects of...
...pectHaving trouble viewing table? Expand...