Key result
Angio CT assessment is crucial for evaluating patients with aortic intramural hematoma to identify vulnerable plaques and optimize treatment strategies.
Complex plaque analysis using advanced imaging like Angio CT opens a new area in identifying vulnerable patients with intramural hematoma to optimize treatment and avoid complications.
May support Angio CT protocols in intramural hematoma; hypothesis-generating from Level 5 evidence, needing prospective validation.
Aortic intramural hematoma frequently appear in elderly hypertensive patients who suffered a vasa vasorum rupture into the media, presenting clinical symptoms similar to aortic dissection. The current available data suggest a similar treatment strategy as in aortic dissection, although intramural hematoma is a different pathophysiological entity. The issue of the vulnerable contact of the intraaortic plaque, which is prone to rupture and to trigger the formation of an intramural hematoma, has not been elucidated so far. We present a brief literature review regarding complex plaque analysis, which opens a new area in identification of vulnerable patients with intramural hematoma, important for management of these patients and optimization of their treatment in order to avoid complications.
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Pál et al. (2014) conducted a review in Aortic Intramural Hematoma. Angio CT and management strategies was evaluated. Angio CT assessment is crucial for evaluating patients with aortic intramural hematoma to identify vulnerable plaques and optimize treatment strategies.
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