Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization

Mohamad Bashir; Sven Zcp Tan; Matti Jubouri; Joseph Coselli; Edward P. Chen; Idhrees Mohammed; Bashi Velayudhan; Parham Sadeghipour; Christoph Nienaber; Wael I. Awad; Worawong Slisatkorn; Randolph Wong; Gabrielle Piffaretti; Giovanni Mariscalco; Damian M. Bailey; Ian Williams

doi:10.1016/j.avsg.2023.04.006

Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization

Mohamad Bashir
, Sven Zcp Tan
, Matti Jubouri
, Joseph Coselli
, Edward P. Chen
, Idhrees Mohammed
, Bashi Velayudhan
, Parham Sadeghipour
, Christoph Nienaber
, Wael I. Awad
, Worawong Slisatkorn
, Randolph Wong
, Gabrielle Piffaretti
, Giovanni Mariscalco
, Damian M. Bailey
, Ian Williams

Department of Surgery

Velindre University NHS Trust
Barts and The London School of Medicine and Dentistry
Hull-York Medical School
Baylor College of Medicine
Duke University School of Medicine
SIMS Hospital
Iran University of Medical Sciences
Guys’ and St Thomas NHS Trust and King's College London
St Bartholomew's Hospital
Chinese University of Hong Kong
University of Insubria School of Medicine
Glenfield Hospital
University of South Wales
University Hospital of Wales

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

15 Citations (Scopus)

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
Pages (from-to)	92-101
Number of pages	10
Journal	Annals of Vascular Surgery
Volume	94
DOIs	https://doi.org/10.1016/j.avsg.2023.04.006
Publication status	Published - Aug 2023

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10.1016/j.avsg.2023.04.006

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Bashir, M., Tan, S. Z., Jubouri, M., Coselli, J., Chen, E. P., Mohammed, I., Velayudhan, B., Sadeghipour, P., Nienaber, C., Awad, W. I., Slisatkorn, W., Wong, R., Piffaretti, G., Mariscalco, G., Bailey, D. M., & Williams, I. (2023). Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization. Annals of Vascular Surgery, 94, 92-101. https://doi.org/10.1016/j.avsg.2023.04.006

@article{bdd63333037948a9ade9ef3a435313db,

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

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 Joseph Coselli and Chen, \{Edward P.\} and Idhrees Mohammed and Bashi Velayudhan and Parham Sadeghipour and Christoph Nienaber and Awad, \{Wael I.\} and Worawong Slisatkorn and Randolph Wong and Gabrielle Piffaretti and Giovanni Mariscalco and Bailey, \{Damian M.\} and Ian Williams",

note = "Publisher Copyright: {\textcopyright} 2023 Elsevier Inc.",

year = "2023",

month = aug,

doi = "10.1016/j.avsg.2023.04.006",

language = "English",

volume = "94",

pages = "92--101",

journal = "Annals of Vascular Surgery",

issn = "0890-5096",

publisher = "Elsevier Inc.",

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Bashir, M, Tan, SZ, Jubouri, M, Coselli, J, Chen, EP, Mohammed, I, Velayudhan, B, Sadeghipour, P, Nienaber, C, Awad, WI, Slisatkorn, W, Wong, R, Piffaretti, G, Mariscalco, G, Bailey, DM & Williams, I 2023, 'Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization', Annals of Vascular Surgery, vol. 94, pp. 92-101. https://doi.org/10.1016/j.avsg.2023.04.006

TY - JOUR

T1 - Uncomplicated Type B Aortic Dissection

T2 - Challenges in Diagnosis and Categorization

AU - Bashir, Mohamad

AU - Tan, Sven Zcp

AU - Jubouri, Matti

AU - Coselli, Joseph

AU - Chen, Edward P.

AU - Mohammed, Idhrees

AU - Velayudhan, Bashi

AU - Sadeghipour, Parham

AU - Nienaber, Christoph

AU - Awad, Wael I.

AU - Slisatkorn, Worawong

AU - Wong, Randolph

AU - Piffaretti, Gabrielle

AU - Mariscalco, Giovanni

AU - Bailey, Damian M.

AU - Williams, Ian

PY - 2023/8

Y1 - 2023/8

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.

UR - https://www.scopus.com/pages/publications/85160104015

U2 - 10.1016/j.avsg.2023.04.006

DO - 10.1016/j.avsg.2023.04.006

M3 - Article

C2 - 37075834

AN - SCOPUS:85160104015

SN - 0890-5096

VL - 94

SP - 92

EP - 101

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

ER -

Uncomplicated Type B Aortic Dissection: Challenges in Diagnosis and Categorization

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