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May 1, 2014

Multiple clinical and radiologic factors, including age <60 years, patent false lumen, and specific morphological configurations, predict aortic enlargement in uncomplicated type B aortic dissection.

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Why the study?

What are the predictors of aortic enlargement in patients with uncomplicated acute type B aortic dissection?

Population

Patients with uncomplicated acute type B aortic dissection (ABAD)

Design

Review

Key result

Multiple clinical and radiologic factors, including age <60 years, patent false lumen, and specific morphological configurations, predict aortic enlargement in uncomplicated type B aortic dissection.

Authors

STSanti TrimarchiFJFrederik H.W. JonkerGBGuido H W van Bogerijen

Discussion

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Member takes

Overview

Aids risk stratification for surveillance in uncomplicated type B aortic dissection; leaves open prospective validation before guiding intervention.

Structured PICO

What are the predictors of aortic enlargement in patients with uncomplicated acute type B aortic dissection?

P
Population
Review of literature on clinical and radiologic predictors of aortic enlargement in patients with uncomplicated acute type B aortic dissection treated conservatively.
E
Exposure
Identification of prognostic variables (demographic, clinical, pharmacologic, and radiologic) for aortic enlargement
O
Outcome
Aortic enlargement during follow-upsurrogate

Identifying predictors of aortic enlargement in uncomplicated type B aortic dissection can guide closer surveillance and early endovascular intervention to prevent rupture.

Limitations

  • Selection bias in some studies where large dissected aortas were excluded because they underwent early intervention.
  • Conflicting observations regarding the role of gender and partially thrombosed false lumen.

Cite This Study

Trimarchi et al. (2014) conducted a review in uncomplicated acute type B aortic dissection. Clinical and radiologic predictors was evaluated on Aortic enlargement. Multiple clinical and radiologic factors, including age <60 years, patent false lumen, and specific morphological configurations, predict aortic enlargement in uncomplicated type B aortic dissection.

synapsesocial.com/papers/6a71b2cbac440176ef2a4bb1https://doi.org/10.3978/j.issn.2225-319x.2014.05.01
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Toward the Best Treatment for Uncomplicated Patients With Type B Acute Aortic Dissection1999 · 39 citations
  2. 2Toward the Best Treatment for Uncomplicated Patients With Type B Acute Aortic Dissection : A Consideration for Sound Surgical Indication1999 · 226 citations
  3. 3Predicting Aneurysmal Degeneration in Uncomplicated Residual Type B Aortic Dissection2024 · 2 citations
  4. 4Importance of entry tears in Type B aortic dissection prognosis.2013 · 12 citations
  5. 5Predictors for thoracic aortic growth in patients with type B aortic dissection after thoracic endovascular aortic repair2024 · 2 citations