Annals of vascular surgery · 2023
Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization.
ОбзорСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Bashir Mohamad, Tan Sven Zcp, Jubouri Matti, Coselli Joseph, Chen Edward P, Mohammed Idhrees, Velayudhan Bashi, Sadeghipour Parham, Nienaber Christoph, Awad Wael I, Slisatkorn Worawong, Wong Randolph, Piffaretti Gabrielle, Mariscalco Giovanni, Bailey Damian M, Williams Ian
Аннотация
BACKGROUND: Acute type B aortic dissection (TBAD) is a rare disease that is likely under-diagnosed in the UK. As a progressive, dynamic clinical entity, many patients initially diagnosed with uncomplicated TBAD deteriorate, developing end-organ malperfusion and aortic rupture (complicated TBAD). An evaluation of the binary approach to the diagnosis and categorisation of TBAD is needed.
METHODS: A narrative review of the risk factors predisposing patients to progression from unTBAD to coTBAD was undertaken.
RESULTS: Key high-risk features predispose the development of complicated TBAD, such as maximal aortic diameter > 40 mm and partial false lumen thrombosis.
CONCLUSION: An appreciation of the factors that predispose to complicated TBAD would aid clinical decision-making surrounding TBAD.
METHODS: A narrative review of the risk factors predisposing patients to progression from unTBAD to coTBAD was undertaken.
RESULTS: Key high-risk features predispose the development of complicated TBAD, such as maximal aortic diameter > 40 mm and partial false lumen thrombosis.
CONCLUSION: An appreciation of the factors that predispose to complicated TBAD would aid clinical decision-making surrounding TBAD.