Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization

Mohamad Bashir; Sven Zcp Tan; Matti Jubouri; Joseph S. Coselli; Edward P. Chen; Idhrees Mohammed; Bashi Velayudhan; Parham Sadeghipour; Christoph A.  Nienaber; Wael I. Awad; Worawong Slisatkorn; Randolph H.L. Wong; Gabrielle Piffaretti; Giovanni Mariscalco; Damian Bailey; Ian M. Williams

doi:10.1016/j.avsg.2023.04.006

Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization

Mohamad Bashir^*, Sven Zcp Tan, Matti Jubouri, Joseph S. Coselli, Edward P. Chen, Idhrees Mohammed, Bashi Velayudhan, Parham Sadeghipour, Christoph A. Nienaber, Wael I. Awad, Worawong Slisatkorn, Randolph H.L. Wong, Gabrielle Piffaretti, Giovanni Mariscalco, Damian Bailey, Ian M. Williams

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Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

4 Wedi eu Llwytho i Lawr (Pure)

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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.

Iaith wreiddiol	Saesneg
Tudalennau (o-i)	92-101
Nifer y tudalennau	10
Cyfnodolyn	Annals of Vascular Surgery
Cyfrol	94
Rhif cyhoeddi	00
Dyddiad ar-lein cynnar	17 Ebr 2023
Dynodwyr Gwrthrych Digidol (DOIs)	https://doi.org/10.1016/j.avsg.2023.04.006
Statws	Cyhoeddwyd - 5 Meh 2023

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10.1016/j.avsg.2023.04.006

Accepted Manuscript - AVS TBAD Article MB Edit v4Llawysgrif awdur wedi’i dderbyn, 61 KBTrwydded: CC BY-NC-ND

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Bashir, M., Tan, S. Z., Jubouri, M., Coselli, J. S., Chen, E. P., Mohammed, I., Velayudhan, B., Sadeghipour, P., Nienaber, C. A., Awad, W. I., Slisatkorn, W., Wong, R. H. L., Piffaretti, G., Mariscalco, G., Bailey, D., & Williams, I. M. (2023). Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization. Annals of Vascular Surgery, 94(00), 92-101. https://doi.org/10.1016/j.avsg.2023.04.006

@article{0cf3d9e7eb954562afd9a710f37311cc,

title = "Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization",

abstract = "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.",

keywords = "Type B Aortic Dissection (TBAD), unTBAD, coTBAD",

author = "Mohamad Bashir and Tan, {Sven Zcp} and Matti Jubouri and Coselli, {Joseph S.} and Chen, {Edward P.} and Idhrees Mohammed and Bashi Velayudhan and Parham Sadeghipour and Nienaber, {Christoph A.} and Awad, {Wael I.} and Worawong Slisatkorn and Wong, {Randolph H.L.} and Gabrielle Piffaretti and Giovanni Mariscalco and Damian Bailey and Williams, {Ian M.}",

year = "2023",

month = jun,

day = "5",

doi = "10.1016/j.avsg.2023.04.006",

language = "English",

volume = "94",

pages = "92--101",

journal = "Annals of Vascular Surgery",

issn = "0890-5096",

publisher = "Elsevier",

number = "00",

}

Bashir, M, Tan, SZ, Jubouri, M, Coselli, JS, Chen, EP, Mohammed, I, Velayudhan, B, Sadeghipour, P, Nienaber, CA, Awad, WI, Slisatkorn, W, Wong, RHL, Piffaretti, G, Mariscalco, G, Bailey, D & Williams, IM 2023, 'Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization', Annals of Vascular Surgery, cyfrol. 94, rhif 00, tt. 92-101. https://doi.org/10.1016/j.avsg.2023.04.006

TY - JOUR

T1 - Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization

AU - Bashir, Mohamad

AU - Tan, Sven Zcp

AU - Jubouri, Matti

AU - Coselli, Joseph S.

AU - Chen, Edward P.

AU - Mohammed, Idhrees

AU - Velayudhan, Bashi

AU - Sadeghipour, Parham

AU - Nienaber, Christoph A.

AU - Awad, Wael I.

AU - Slisatkorn, Worawong

AU - Wong, Randolph H.L.

AU - Piffaretti, Gabrielle

AU - Mariscalco, Giovanni

AU - Bailey, Damian

AU - Williams, Ian M.

PY - 2023/6/5

Y1 - 2023/6/5

N2 - 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.

AB - 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.

KW - Type B Aortic Dissection (TBAD)

KW - unTBAD

KW - coTBAD

U2 - 10.1016/j.avsg.2023.04.006

DO - 10.1016/j.avsg.2023.04.006

M3 - Article

C2 - 37075834

SN - 0890-5096

VL - 94

SP - 92

EP - 101

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

IS - 00

ER -

Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization

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