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Choosing the best imaging modality to assess aortic dissection based on each patient ’ s unique clinical factors
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kim, Young-Wook Park, Yang-Jin |
| Copyright Year | 2015 |
| Abstract | A ortic dissection (AD) is a dynamic pathology that changes rapidly over time and has a high rate of morbidity and mortality. For this reason, rapid and accurate diagnosis is critical in managing it. Furthermore, ascertaining ascending aorta involvement is crucial, as type A dissections usually require urgent open surgical repair.1 Successful management begins with clinical suspicion of AD and prompt, accurate assessment of the aortic anatomy and the presence of any complications of dissection, as well as determination of an underlying aortic pathology. Because evaluation of these factors must be completed in a limited amount of time, choice of the initial diagnostic imaging modality can be crucial. In current practice, CT, echocardiography, and MRI are typically used to diagnose AD, and among these, CT is the most commonly used imaging modality. Each of the various imaging modalities have their individual advantages and disadvantages, and in order to make the best choice for the patient, several clinical factors must be taken into account. Such factors include the patient’s hemodynamic status, urgency of the definitive treatment, anticipated distal extent of the AD, and purpose of the aortic imaging (ie, whether it is to be used for preoperative evaluation, postoperative examination, or serial measurement of the dissected aorta size). |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://evtoday.com/pdfs/et1115_F2_Kim.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
