IRAD experience on surgical type A acute dissection patients: results and predictors of mortality.
Paolo Berretta,Himanshu J. Patel,Thomas G. Gleason,Thoralf M. Sundt,Truls Myrmel,Nimesh D. Desai,Amit Korach,Antonello Panza,Joseph E. Bavaria,Ali Khoynezhad,Elise M. Woznicki,Dan Montgomery,Eric M. Isselbacher,Roberto Di Bartolomeo,Rossella Fattori,Christoph A. Nienaber,Kim A. Eagle,Santi Trimarchi,Marco Di Eusanio +18 more
TLDR
The present review aimed to evaluate and comment on outcomes of TAAD surgery as reported from IRAD series.Abstract:
Type A acute aortic dissection (TAAD) is a disease that has a catastrophic impact on a patient’s life and emergent surgery represents a key goal of early treatment. Despite continuous improvements in imaging techniques, medical therapy and surgical management, early mortality in patients undergoing TAAD repair still remains high, ranging from 17% to 26%. In this setting, the International Registry of Acute Aortic Dissection (IRAD), the largest worldwide registry for acute aortic dissection, was established to assess clinical characteristics, management and outcomes of TAAD patients. The present review aimed to evaluate and comment on outcomes of TAAD surgery as reported from IRAD series.read more
Citations
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Journal ArticleDOI
Insights From the International Registry of Acute Aortic Dissection: A 20-Year Experience of Collaborative Clinical Research.
Arturo Evangelista,Eric M. Isselbacher,Eduardo Bossone,Thomas G. Gleason,Marco Di Eusanio,Udo Sechtem,Marek Ehrlich,Santi Trimarchi,Alan C. Braverman,Truls Myrmel,Kevin M. Harris,Stuart Hutchinson,Patrick T. O'Gara,Toru Suzuki,Christoph A. Nienaber,Kim A. Eagle +15 more
TL;DR: The International Registry of Acute Aortic Dissection (IRAD) was established in 1996 with the mission to raise awareness of this condition and provide insights to guide diagnosis and treatment as mentioned in this paper.
Journal ArticleDOI
Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections
Joseph V. Lombardi,G. Chad Hughes,Jehangir J. Appoo,Joseph E. Bavaria,Adam W. Beck,Richard P. Cambria,Kristofer M. Charlton-Ouw,Mohammad H. Eslami,Karen M. Kim,Bradley G. Leshnower,Thomas S. Maldonado,T. Brett Reece,Grace J. Wang +12 more
TL;DR: This Society for Vascular Surgery/Society of Thoracic Surgeons (SVS/STS) document illustrates and defines the overall nomenclature associated with type B aortic dissection and describes a new classification system for practical use and reporting that includes the aorti arch.
Journal ArticleDOI
Endovascular Fenestration/Stenting First Followed by Delayed Open Aortic Repair for Acute Type A Aortic Dissection With Malperfusion Syndrome.
Bo Yang,Carlo Maria Rosati,Elizabeth L. Norton,Karen M. Kim,Minhaj S. Khaja,Narasimham L. Dasika,Xiaoting Wu,Whitney E. Hornsby,Himanshu J. Patel,G. Michael Deeb,David M. Williams +10 more
TL;DR: Patients with MPS benefit from a staged approach: upfront endovascular reperfusion followed by aortic OR at resolution of organ failure, as well as the expected mortalities with an “upfront OR for every patient” approach.
Journal ArticleDOI
A systematic review of primary endovascular repair of the ascending aorta.
TL;DR: Despite the absence of a dedicated aortic stent graft for the ascending aorta, patients with a range of ascending aortsic diseases are being successfully treated by endovascular technologies, and patient selection is critical to align aortics anatomy with the limited device sizing options.
Journal ArticleDOI
Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections.
Joseph V. Lombardi,G. Chad Hughes,Jehangir J. Appoo,Joseph E. Bavaria,Adam W. Beck,Richard P. Cambria,Kristofer M. Charlton-Ouw,Mohammad H. Eslami,Karen M. Kim,Bradley G. Leshnower,Thomas S. Maldonado,T. Brett Reece,Grace J. Wang +12 more
TL;DR: This Society for Vascular Surgery/Society of Thoracic Surgeons (SVS/STS) document illustrates and defines the overall nomenclature associated with type B aortic dissection and describes a new classification system for practical use and reporting that includes the aorti arch.
References
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Journal ArticleDOI
The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease.
Peter Hagan,Christoph A. Nienaber,Eric M. Isselbacher,David Bruckman,Dean Karavite,P. Russman,Arturo Evangelista,Rossella Fattori,Toru Suzuki,Jae K. Oh,Andrew G. Moore,Joseph F. Malouf,Linda Pape,Charlene Gaca,Udo Sechtem,Suzanne Lenferink,Hans J. Deutsch,Holger Diedrichs,Jose Marcos y Robles,Alfredo Llovet,Dan Gilon,Sugata Das,William F. Armstrong,G. Michael Deeb,Kim A. Eagle +24 more
TL;DR: The data support the need for continued improvement in prevention, diagnosis, and management of acute aortic dissection and suggest a high clinical index of suspicion is necessary.
Journal ArticleDOI
Gender-Related Differences in Acute Aortic Dissection
Christoph A. Nienaber,Rossella Fattori,Rajendra H. Mehta,Barbara M. Richartz,Arturo Evangelista,Michael Petzsch,Jeanna V. Cooper,James L. Januzzi,Hüseyin Ince,Udo Sechtem,Eduardo Bossone,Jianming Fang,Dean E. Smith,Eric M. Isselbacher,Linda Pape,Kim A. Eagle +15 more
TL;DR: Insight is provided into gender-related differences in AAD with regard to clinical characteristics, management, and outcomes; important diagnostic and therapeutic implications may help shed light on aortic dissection in women to improve their outcomes.
Journal ArticleDOI
Surgical management of aortic dissection during a 30-year period
James I. Fann,Julian A. Smith,D C Miller,R S Mitchell,Kathleen A. Moore,Gary L. Grunkemeier,E B Stinson,Philip E. Oyer,Bruce A. Reitz,Shumway Ne +9 more
TL;DR: Although the operative mortality rate decreased over time for patients with aortic dissection, the risk for those with acute aorti dissection during the last 10 years (1983 to 1992) is probably more realistic than that observed in the preceding 5-year interval (1978 to 1982).
Journal ArticleDOI
Acute Aortic Dissection: Perspectives from the International Registry of Acute Aortic Dissection (IRAD)
TL;DR: The International Registry of Acute Aortic Dissection (IRAD) has enrolled over 2000 patients over the past 12 years and key lessons learned are summarized.
Journal ArticleDOI
Simple Risk Models to Predict Surgical Mortality in Acute Type A Aortic Dissection: The International Registry of Acute Aortic Dissection Score
Vincenzo Rampoldi,Santi Trimarchi,Kim A. Eagle,Christoph A. Nienaber,Jae K. Oh,Eduardo Bossone,Truls Myrmel,Giuseppe Sangiorgi,Carlo De Vincentiis,Jeanna V. Cooper,Jianming Fang,Dean G. Smith,Thomas T. Tsai,Arun Raghupathy,Rossella Fattori,Udo Sechtem,Michael Deeb,Thoralf M. Sundt,Eric M. Isselbacher +18 more
TL;DR: The International Registry of Acute Aortic Dissection risk models predict in-hospital mortality using a multivariable risk prediction tool, useful for surgeons and patients as they consider their surgical risk and the pros and cons of embarking on high-risk surgery.
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