scholarly journals Predictors of oxygenation impairment in medical treatment for type B acute aortic dissection

2018 ◽  
Vol 33 (12) ◽  
pp. 1463-1470 ◽  
Author(s):  
Yusuke Kashiwagi ◽  
Kimiaki Komukai ◽  
Kenichiro Suzuki ◽  
Yuhei Oi ◽  
Mitsutoshi Tominaga ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Medical Treatment ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Oxygenation Impairment

scholarly journals Endovascular repair or best medical treatment: what is the optimal management of uncomplicated Type-B acute aortic dissection?

2017 ◽  
Vol 9 (10) ◽  
pp. 3458-3462 ◽  
Author(s):  
María Elena Arnáiz-García ◽  
José María González-Santos ◽  
Ana María Arnáiz-García ◽  
Javier Arnáiz
Keyword(s):  
Aortic Dissection ◽  
Medical Treatment ◽  
Endovascular Repair ◽  
Acute Aortic Dissection ◽  
Optimal Management ◽  
Type B ◽  
Best Medical Treatment

scholarly journals Prognosis of Stanford Type B Acute Aortic Dissection and Availability of Early Rehabilitation Program in Medical Treatment.

2002 ◽  
Vol 31 (2) ◽  
pp. 114-119
Author(s):  
Hitoshi Fukumoto ◽  
Yasuhisa Nishimoto ◽  
Masayoshi Nishimoto ◽  
Toshihiko Ibaragi ◽  
Shuuichi Suzuki ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Medical Treatment ◽  
Acute Aortic Dissection ◽  
Rehabilitation Program ◽  
Early Rehabilitation ◽  
Type B ◽  
Stanford Type B

scholarly journals Predicting the Occurrence of Oxygenation Impairment in Patients with Type-B Acute Aortic Dissection

2014 ◽  
Vol 23 (01) ◽  
pp. 053-060 ◽  
Author(s):  
Kazunori Tomita ◽  
Nobuaki Kobayashi ◽  
Takuro Shinada ◽  
Akihiro Shirakabe ◽  
Noritake Hata
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Oxygenation Impairment

P5599Prognostic impact of quality indicators on outcomes of acute aortic dissection in Japan

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
T Yamaguchi ◽  
M Nakai ◽  
Y Sumita ◽  
Y Miyamoto ◽  
H Matsuda ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Hospital Mortality ◽  
Quality Indicators ◽  
Acute Aortic Dissection ◽  
Vascular Diseases ◽  
Type A ◽  
Administrative Database ◽  
Type B ◽  
Practice Gaps

Abstract Background Despite recent advances in diagnosis and management, the mortality of acute aortic dissection (AAD) remains high. Purpose This study aims to develop quality indicators (QIs) for the management of AAD, and to evaluate the associations between QIs and outcomes of AAD in a Japanese nationwide administrative database. Methods A total of 18,348 patients suffered from AAD (Type A: 10,131, Type B: 8,217) in the Japanese Registry of All Cardiac and Vascular Diseases database between 2012 and 2015 were studied. A systematic review was performed to establish initial index items for QIs. Evaluation was performed through the expert consensus meeting using a Delphi method. Associations between developed QIs and the mortality were determined by multivariate mixed logistic regression analyses. Results A total of nine QIs (five structural and four processatic) were developed. Achievements of developed QIs (High: 7–9, Middle: 4–6, Low: 0–3) were significantly associated with lower in-hospital mortality even after adjustment for covariates in both type A (Middle: odds ratio [OR], 0.257; 95% confidence interval [CI], 0.211–0.312; P<0.001; High: OR, 0.064; 95% CI, 0.047–0.086; P<0.001 vs. Low) and type B (Middle: OR, 0.447; 95% CI, 0.338–0.590; P<0.001; High: OR, 0.128; 95% CI, 0.077–0.215; P<0.001 vs. Low). Additionally, achievements of structural and processatic QIs were consistently associated with reduced in-hospital mortality. QIs and in-hospital mortality Conclusions Developed QIs for AAD management were significantly associated with lower in-hospital mortality. Evaluation of each hospital's management with QIs could be helpful to equalize quality of treatment and to fill the evidence-to-practice gaps in the real-world treatment.

scholarly journals Pulmonary Embolism and Deep Vein Thrombosis Complicating Acute Aortic Dissection during Medical Treatment

2007 ◽  
Vol 46 (8) ◽  
pp. 477-480 ◽  
Author(s):  
Satoshi Morimoto ◽  
Takehiko Izumi ◽  
Toshiyuki Sakurai ◽  
Kimiaki Komukai ◽  
Makoto Kawai ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
Aortic Dissection ◽  
Medical Treatment ◽  
Acute Aortic Dissection ◽  
Vein Thrombosis ◽  
Deep Vein

scholarly journals Two-stage Operation for Stanford Type B Acute Aortic Dissection with Renal Blood Flow Reduction

2018 ◽  
Vol 79 (4) ◽  
pp. 708-712
Author(s):  
Yusuke SHIMIZU ◽  
Susumu ISHIKAWA ◽  
Hideki MISHIMA ◽  
Yuki MATSUNAGA ◽  
Yuki NISHIHARA ◽  
...  
Keyword(s):  
Blood Flow ◽  
Aortic Dissection ◽  
Renal Blood Flow ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Two Stage ◽  
Flow Reduction ◽  
Blood Flow Reduction ◽  
Stanford Type B

Abstract TP144: Mechanisms And Prognosis Of Acute Ischemic Stroke Related To Acute Aortic Dissection

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Seung-Jae Lee ◽  
Dong-Suk Shim ◽  
Si-Ryung Han
Keyword(s):  
Ischemic Stroke ◽  
Aortic Dissection ◽  
Early Onset ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Posterior Circulation ◽  
Type B ◽  
Delayed Onset ◽  
Bilateral Carotid ◽  
Type B Dissection

Background: Acute aortic dissection (AD) is one of the lethal cardiac diseases involving the aorta. Although pain is a typical symptom, stroke may not rarely occur with the occlusive dissection of aortic branches or hypotension under the condition of AD. We attempted to explores the clinical features, possible mechanisms and prognosis of acute ischemic stroke (AIS) related to AD Method: Medical records of 278 consecutive patients with AD (165 with type A and 113 with type B dissection) over 11.5 years were retrospectively analyzed for clinical history, CT or MRI findings and outcome. AIS were categorized into early- or delayed-onset stroke. Early-onset stroke was defined as an AIS presented at admission, and delayed-onset stroke was an AIS which were developed during the two months after the first admission. Results: 26 (9.4%) patients experienced an ischemic stroke, which included 22 with type A and 4 with type B dissection. 8 patients (2.9%) including a case of TIA had an early-onset stroke, whereas delayed-onset stroke occurred in 18 patients (6.5%) postoperatively or under medical treatment. Early-onset stroke was all referable to the anterior circulation, predominantly right-sided (87.5%). One or more main branches of the aortic arch were involved in 6 out of 8 patients (75%) with early-onset stroke. Innominate artery was most frequently involved (75.0%). In contrast, delayed-onset stroke affected similarly bilateral carotid territories, and also included lesions in bilateral carotid, posterior-circulation and anterior/posterior-circulation territories. Among the 26 patients, 8 patients (30.8%) expired within 6 months of the disease onset (3 cases from hemispheric stroke with brain herniation, 2 cases from aortic rupture, 2 cases from sepsis with multiple organ failure and a case from mesentery ischemia and renal failure). Additionally, 9 patients (34.6%) remained functionally dependent six months later. Conclusion: AD not infrequently causes AIS with grave prognosis, especially in patients with type A dissection. The presumed mechanisms were aortic branch dissection causing luminal occlusion and emboli from thrombosed vascular lumen and hypotension under the condition of AD.

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