Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorisation

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 Categorisation

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

^*Corresponding author for this work

Faculty of Life Sciences and Education

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Journal	Annals of Vascular Surgery
Volume	00
Issue number	00
Early online date	17 Apr 2023
DOIs	https://doi.org/10.1016/j.avsg.2023.04.006
Publication status	Published - 5 Jun 2023

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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 Categorisation. Annals of Vascular Surgery, 00(00). https://doi.org/10.1016/j.avsg.2023.04.006

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

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.",

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 = "00",

journal = "Annals of Vascular Surgery",

issn = "0890-5096",

publisher = "Elsevier",

number = "00",

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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 Categorisation', Annals of Vascular Surgery, vol. 00, no. 00. https://doi.org/10.1016/j.avsg.2023.04.006

TY - JOUR

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

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.

U2 - 10.1016/j.avsg.2023.04.006

DO - 10.1016/j.avsg.2023.04.006

M3 - Article

C2 - 37075834

VL - 00

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

SN - 0890-5096

IS - 00

ER -

Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorisation

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