Morphologic predictors of aortic dilatation in type B aortic dissection

Jip L. Tolenaar, Jasper W. Van Keulen, Frederik H W Jonker, Joost A. Van Herwaarden, Hence J. Verhagen, Frans L. Moll, Bart E. Muhs, Santi Trimarchi

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Background: Conservative management of acute type B aortic dissection (ABAD) is often associated with aortic dilatation during follow-up increasing the risk of aortic rupture. The goal of this study was to investigate whether morphologic characteristics of the dissection can predict aortic growth. Methods: All conservatively managed ABAD patients from four referral centers were included (2000 to 2010). Aortic diameters were measured at five levels at baseline and at the last follow-up computed tomography angiography, and annual aortic growth rates were calculated for all segments. Linear regression was used to study the influence of aortic morphologic characteristics for aortic dilatation. Results: Included were 62 patients (41 men) with a mean age of 60.3 ± 10.7 years. Among the 310 analyzed aortic segments, 248 (80.0%) were dissected, of which 211 (85.1%) showed aortic growth. Overall, the mean diameter increased from 36.1 ± 9.4 to 40.2 ± 11.1 mm (P

Original languageEnglish
Pages (from-to)1220-1225
Number of pages6
JournalJournal of Vascular Surgery
Volume58
Issue number5
DOIs
Publication statusPublished - Nov 2013

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Dissection
Dilatation
Growth
Aortic Rupture
Linear Models
Referral and Consultation
Computed Tomography Angiography
Conservative Treatment

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Tolenaar, J. L., Van Keulen, J. W., Jonker, F. H. W., Van Herwaarden, J. A., Verhagen, H. J., Moll, F. L., ... Trimarchi, S. (2013). Morphologic predictors of aortic dilatation in type B aortic dissection. Journal of Vascular Surgery, 58(5), 1220-1225. https://doi.org/10.1016/j.jvs.2013.05.031

Morphologic predictors of aortic dilatation in type B aortic dissection. / Tolenaar, Jip L.; Van Keulen, Jasper W.; Jonker, Frederik H W; Van Herwaarden, Joost A.; Verhagen, Hence J.; Moll, Frans L.; Muhs, Bart E.; Trimarchi, Santi.

In: Journal of Vascular Surgery, Vol. 58, No. 5, 11.2013, p. 1220-1225.

Research output: Contribution to journalArticle

Tolenaar, JL, Van Keulen, JW, Jonker, FHW, Van Herwaarden, JA, Verhagen, HJ, Moll, FL, Muhs, BE & Trimarchi, S 2013, 'Morphologic predictors of aortic dilatation in type B aortic dissection', Journal of Vascular Surgery, vol. 58, no. 5, pp. 1220-1225. https://doi.org/10.1016/j.jvs.2013.05.031
Tolenaar JL, Van Keulen JW, Jonker FHW, Van Herwaarden JA, Verhagen HJ, Moll FL et al. Morphologic predictors of aortic dilatation in type B aortic dissection. Journal of Vascular Surgery. 2013 Nov;58(5):1220-1225. https://doi.org/10.1016/j.jvs.2013.05.031
Tolenaar, Jip L. ; Van Keulen, Jasper W. ; Jonker, Frederik H W ; Van Herwaarden, Joost A. ; Verhagen, Hence J. ; Moll, Frans L. ; Muhs, Bart E. ; Trimarchi, Santi. / Morphologic predictors of aortic dilatation in type B aortic dissection. In: Journal of Vascular Surgery. 2013 ; Vol. 58, No. 5. pp. 1220-1225.
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