Guidelines for Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection (JCS 2011)

Group, JCS Joint Working

doi:10.1253/circj.cj-66-0057

Cited by 257 publications

(103 citation statements)

References 66 publications

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“…If left untreated, mortality from type A aortic dissection (TAAD; Figure 1) is ≈7% in the first hour after symptom onset and rises to as much as 90% by 24 hours. 9,10 Despite its more benign reputation, type B aortic dissection (TBAD) also causes significant morbidity and mortality. In a review of the International Registry of Aortic Dissection (IRAD), overall in-hospital mortality was 13% after TBAD and remained as high as 10% in patients who could be initially managed medically.…”

Section: Aortic Dissection and Perforationmentioning

confidence: 99%

Injuries to the Aorta, Aortic Annulus, and Left Ventricle During Transcatheter Aortic Valve Replacement

Langer

Hamid

Nazif

et al. 2017

Circ: Cardiovascular Interventions

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The experience with transcatheter aortic valve replacement is increasing worldwide; however, the incidence of potentially catastrophic cardiac or aortic complications has not decreased. In most cases, significant injuries to the aorta, aortic valve annulus, and left ventricle require open surgical repair. However, the transcatheter aortic valve replacement patient presents a unique challenge as many patients are at high or prohibitive surgical risk and, therefore, an open surgical procedure may not be feasible or appropriate. Consequently, prevention of these potentially catastrophic injuries is vital, and practitioners need to understand when open surgical repair is required and when alternative management strategies can be used. The goal of this article is to provide an overview of current management and prevention strategies for major complications involving the aorta, aortic valve annulus, and left ventricle.

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Section: Aortic Dissection and Perforationmentioning

confidence: 99%

Injuries to the Aorta, Aortic Annulus, and Left Ventricle During Transcatheter Aortic Valve Replacement

Langer

Hamid

Nazif

et al. 2017

Circ: Cardiovascular Interventions

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“…Uncomplicated type B acute aortic dissection has a relatively good prognosis with conservative treatment, as recommended in the 2011 revised guidelines for the treatment of aortic aneurysms/dissection. 8) The incidence of aneurysm enlargement and events such as recurrent dissection in the chronic stage is not low, and the outcome has been reported to be poor in patients with communicating aortic dissection or aortic diameters of >40 mm at the time of dissection in particular ( Table 2). 9) Recently, the INSTEAD-XL trial has shown that early TEVAR for uncomplicated type B acute aortic dissection resulted in improvements in long-term outcome.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Therapy for Chronic Type B Aortic Dissection

Fujioka

Irisawa

Horai

et al. 2019

Annals of Vascular Diseases

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Objectives: Endovascular repair of the thoracic aorta (TEVAR) represents a therapeutic option for type B aortic dissection. However, the optimal timing for TEVAR is controversial. We examined the outcomes of TEVAR for chronic type B dissection and reviewed aortic morphology using pre-and postoperative CT scan images. Methods: Between 2012 and 2017, 12 patients underwent TEVAR for chronic type B dissection at our institution. We retrospectively reviewed the clinical and operative data including CT scan images, comparing the values between early group (5 cases, 3 months to 1 year from initial dissection) and late group (7 cases, more than 1 year from initial dissection). Results: There were no paraplegia, stroke, and death in our cohort. There was no difference in degree of the aortic remodeling between two groups. Conclusions: Outcomes after TEVAR for chronic type B aortic dissection were favorable. Aortic remodeling could be obtained in selected patients by closing an entry with TEVAR procedure. (This is a translation of Jpn

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“…Aortic aneurysm is a condition wherein the aortic diameter is >1.5 times larger than the reference range. 17) Aneurysms occur either in fusiform or saccular shape, with saccular aneurysm being associated with higher rupture risk. In most cases, aneurysms are incidentally found on plain chest X-ray, ultrasound sonography, CT, or magnetic resonance imaging images, without typical symptoms but for the presence of a pulpable or pulsatile mass in the abdomen.…”

Section: Aortic Aneurysms Versus Aortic Dissectionmentioning

confidence: 99%

Updates on Computed Tomography Imaging in Aortic Aneurysms and Dissection

Tanaka

Yoshioka

Abiko

2020

Annals of Vascular Diseases

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Computed tomography (CT) is a primary imaging modality for the diagnosis of aortic diseases, because of its minimal invasiveness and agility. Prompt and accurate diagnosis is crucial especially for acute aortic diseases, and the guidelines for acute aortic dissection recommend the use of CT for initial diagnosis. For the follow-up observation of longstanding aortic diseases, the strategy of imaging management by CT must be different from that for emergency and acute phases. In this review, we document the differences in characteristics and clinical course between aortic aneurysm and aortic dissection and explain the use of recent CT techniques in diagnosing short-and longstanding aortic diseases.

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Guidelines for Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection (JCS 2011)

Cited by 257 publications

References 66 publications

Injuries to the Aorta, Aortic Annulus, and Left Ventricle During Transcatheter Aortic Valve Replacement

Injuries to the Aorta, Aortic Annulus, and Left Ventricle During Transcatheter Aortic Valve Replacement

Endovascular Therapy for Chronic Type B Aortic Dissection

Updates on Computed Tomography Imaging in Aortic Aneurysms and Dissection

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