Home

The document, which has been published in both the Journal of the American College of Cardiology(JACC) and Circulation is intended to guide decision-making around diagnosis, screening, medical therapy, endovascular and surgical treatment, and long-term surveillance of patients with aortic disease.

Among the developments in the latest version, the guideline recognises the increasing role for thoracic endovascular aortic repair (TEVAR) in the management of uncomplicated type B aortic dissection, in line with clinical trials of repair of thoracoabdominal aortic aneurysms with endografts that have reported results suggesting that endovascular repair is an option for patients with suitable anatomy.

Additionally, the use of a multidisciplinary aortic team is strongly advocated, with the guideline’s writing committee suggesting that outcomes for patients with aortic disease are “enhanced at programmes with higher volumes, experienced practitioners, and extensive management capabilities”.

“There has been a host of new evidence-based research available for clinicians in the past decade when it comes to aortic disease. It was time to re-evaluate and update the previous, existing guidelines,” said Eric M Isselbacher (Massachusetts General Hospital, Boston, USA), guideline writing committee chair. “We hope this new guideline can inform clinical practices with up-to-date and synthesised recommendations, targeted toward a full multidisciplinary aortic team working to provide the best possible care for this vulnerable patient population.”

Among the new recommendations in the guideline, the threshold for surgical intervention for sporadic aortic root and ascending aortic aneurysms has been lowered from 5.5cm to 5cm in certain individuals—reflecting that the risk of aortic aneurysm or dissection increases with size. With this recommendation, select individuals may get surgery sooner to prevent death from an aortic aneurysm or dissection.

In addition, the guideline updates the definition for rapid aneurysm growth rate, and surgery is recommended for individuals with aneurysms of aortic root and ascending thoracic aorta with a confirmed growth rate of ≥0.3cm per year across two consecutive years or ≥0.5 cm in one year. Rapid aortic growth is a risk factor for rupture, the authors of the document note.

The guideline also recommends modifying surgical thresholds in patients who are significantly smaller or taller than average. Guidance for the size of aortic injury that would indicate a need for surgery should be adjusted for the patient’s body surface area or height.

Other important recommendations reflected in the document include the use of family screening, including genetic testing and imaging, to identify those at high-risk of aortic disease; a need for consistency in the acquisition and reporting of computed tomography (CT) or magnetic resonance imaging (MRI) in the measurement of aortic size and features.

Source CardiovascularNews

Duc Tin Clinic

Chia sẽ qua facebook bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Chia sẽ qua google bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Chia sẽ qua twitter bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Chia sẽ qua MySpace bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Chia sẽ qua LinkedIn bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Chia sẽ qua stumbleupon bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Chia sẽ qua icio bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Chia sẽ qua digg bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Chia sẽ qua yahoo bài: New surgical thresholds and need for multidisciplinary teams reflected in revised aortic guidelines

Tin tức liên quan

Enrolment reaches midway point in trial of Early Bird bleed monitoring system

Eight-fold increased risk of heart attack seen in patients with subclinical obstructive coronary atherosclerosis

ACC 2023: REVIVED-BCIS-2 results challenge “long-held beliefs” on myocardial viability testing prior to PCI

Blood pressure successfully cut in RADIANCE II ultrasound renal denervation trial

New data examine mortality rates and cardiac damage in early-stage aortic stenosis patients

SUPPORT CONSULTANT

Make an Appointment

I am Nguyen Thanh Sang, born in 1990. Since the examination and treatment at the clinic Duc Tin, I am very grateful to the Doctor for explaining and sharing about my illness. During the treatment time in the clinic I was very caring staff of the clinic. Now my illness has improved in a good way. Expect more and more clinic to be able to save many patients.

I sincerely thank you !. Tel: 0938303275

Huynh Thi Muoi, born in 1940, was examined and treated at Duc Tin Clinic. I am very pleased about how to serve and care patients of the clinic. The doctor is committed to explaining and sharing with the patient.

Huynh Thi Muoi sincerely thank you! Phone number: 0972868746

As I said Duc Tin surgical clinin is where my family trust, hope to visit. Physicians caring, thoughtful, gentle to the patient. Nurses and staff clinic polite, cheerful and thoughtful. This clinic clean, sterile, so I would love to. Tel: +84949914060.

The doctor is very caring, attentive and very gentle nurse, courteous, affable with me. The clinic is clean, comfortable, polite. I enjoyed this faith. Every visit I was very relieved disease. Tel: 0839820792.

I was patient, had to clinics of Dr. Le Duc Tin. I see very conscientious doctor patient care, answer any questions and very dedicated staff from the receptionist to the children tested, nursing. Clinics very clean and spacious. I'm very satisfied. Tel: +841227880829.