Does This Study Make My Aorta Look Fat?

Kinlay, Scott

doi:10.1161/circulationaha.115.018958

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…In children, an enlarging aorta can be only temporarily sealed with a stentgraft – a balloon-expandable covered stent allowing redilation to match further aortic growth. However promising it may be as a bridge operation and life-saving procedure – and a solution for those awaiting their final surgical reconstruction [ 14 , 15 ] – this modality in children helps only to delay the need for surgical repair until the patient is stable [ 9 , 16 ]. In addition, even then, it has three main disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Undersized Stentgraft Placement for Traumatic Descending Aorta Rupture, and What Is Next?

Dziekiewicz

Makowski³

2020

Am J Case Rep

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Section: Discussionmentioning

confidence: 99%

Undersized Stentgraft Placement for Traumatic Descending Aorta Rupture, and What Is Next?

Dziekiewicz

Makowski³

2020

Am J Case Rep

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“…28 This is in accordance with the current European guidelines 29 on chronic dissections and American guidelines with respect to degenerative descending thoracic aortic aneurysm 30 . The newest American guidelines on chronic dissection recommend elective surgical intervention at an aortic diameter of 55 mm, and other studies discuss intervention at even smaller diameters 31,32 . If the 55 mm threshold had been applied to our study, 2 more adverse events would have been recorded, with one patient reaching the 55 mm threshold after 5.1 years and another after 8.9 years.…”

Section: Discussionmentioning

confidence: 99%

Prognostic significance of early aortic remodeling in acute uncomplicated type B aortic dissection and intramural hematoma

Sailer

Nelemans

Hastie

et al. 2017

The Journal of Thoracic and Cardiovascular Surgery

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Structured Abstract Background Patients with Stanford type B aortic dissections (AD) are at risk of long-term disease progression and late complications. The aim of this study was to evaluate the natural course and evolution of acute type B AD and intramural hematomas (IMH) in patients who presented without complications during their initial hospital admission and who were treated with optimal medical management (MM). Methods Databases from two aortic centers in Europe and the US were used to identify 136 patients with acute type B AD (n= 92) and acute type B IMH (n= 44) who presented without complications during their index admission and were treated with MM. Computed tomography (CT) angiography scans were available at onset (≤ 14 days) and during follow-up for those patients. Relevant data, including evidence of adverse events during follow-up (AE; defined according to current guidelines), were retrieved from medical records and by reviewing CT scan images. Aortic diameters were measured using dedicated 3D software. Results The 1-, 2- and 5-year event-free survival rates of patients with type B AD were 84.3% (95% CI: 74.4 – 90.6), 75.4% (95% CI: 64.0 – 83.7) and 62.6% (95% CI: 68.9 – 73.6), respectively. Corresponding estimates for IMH were 76.5% (95% CI: 57.8 – 87.8), 76.5% (95% CI: 57.8 – 87.8) and 68.9% (95% CI: 45.2 – 83.9), respectively. In patients with type B AD, risk of an adverse event increased with aortic growth within the first six months after onset. A diameter increase of 5 mm in the first half year was associated with a relative risk for AE of 2.29 (95% CI: 1.70–3.09) compared with the median 6 months growth of 2.4 mm. In about 60% of IMH patients the abnormality resolved within 12 months and in the patients with non-resolving IMH, risk of an adverse event was highest in the first year after onset and remained stable thereafter. Conclusions More than one-third of patients with initially uncomplicated type B AD suffer an AE under MM within 5 years of initial diagnosis. In patients with non-resolving IMH, most adverse events are observed in the first year after onset. In patients with type B AD an early aortic growth is associated with a higher risk of AE.

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Does This Study Make My Aorta Look Fat?

Cited by 2 publications

References 7 publications

Undersized Stentgraft Placement for Traumatic Descending Aorta Rupture, and What Is Next?

Undersized Stentgraft Placement for Traumatic Descending Aorta Rupture, and What Is Next?

Prognostic significance of early aortic remodeling in acute uncomplicated type B aortic dissection and intramural hematoma

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