Document Detail


The role of false lumen size in prediction of in-hospital complications after acute type B aortic dissection.
MedLine Citation:
PMID:  18804746     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The aim of this study was to determine whether false lumen size predicts in-hospital complications for acute type B aortic dissection. BACKGROUND: The incidence of complications developing in patients with acute type B aortic dissection has been high. However, methods for recognizing high-risk patients have not been well-studied. We used quantitative analysis by computed tomography (CT) to predict the occurrence of in-hospital complications. METHODS: Fifty-five consecutive patients with acute type B aortic dissection documented by CT imaging were analyzed. They were divided into groups, with and without in-hospital complications, and compared regarding maximal aortic diameter (MAD), maximal false lumen area (MFLA), minimal true lumen area (MTLA), branch-vessel involvement (BVI), and longitudinal length (LL) of aortic dissection. RESULTS: There were 31 patients with a stable course (group 1) and 24 patients who developed complications (group 2). The MFLA of group 2 was significantly larger than that of group 1 (group 1 vs. group 2=577.7+/-273.2 mm2 vs. 1,899.3+/-1,642.4 mm2, p<0.001). The BVI number was also higher in group 2 (group 1 vs. group 2=1.0+/-1.1 vs. 3.3+/-2.0, p<0.001). On multivariate analysis, only MFLA and BVI number were independent predictors of in-hospital complications. Patients with initial MFLA>or=922 mm2 or BVI number>or=2 showed a significantly higher incidence of in-hospital complications than the other patients (p<0.001). CONCLUSIONS: A large MFLA and a higher BVI number are powerful predictors of in-hospital complications after acute type B aortic dissection.
Authors:
Chih-Ping Chang; Juhn-Cherng Liu; Ying-Ming Liou; Shih-Sheng Chang; Jan-Yow Chen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  52     ISSN:  1558-3597     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-22     Completed Date:  2008-10-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1170-6     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiology, Department of Medicine, China Medical University Hospital, Taichung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aortic Diseases / complications,  radiography*
Female
Hospitalization
Humans
Ischemia / etiology
Male
Middle Aged
Renal Insufficiency / etiology
Risk Factors
Tomography, X-Ray Computed

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