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Usefulness of ultrasound in the management of aortic dissection

Fengju Liu1, Lianjun Huang2

  • 1Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung, and Blood Vessel Diseases, Department of Ultrasound No.2 anzhen road, chaoyang district, Beijing, China, 100029.

Reviews in Cardiovascular Medicine
|May 6, 2019
PubMed

Insights

Aortic dissection, a critical vascular condition, requires advanced imaging. Ultrasound techniques assess major artery changes before and after surgery, aiding diagnosis and prognosis.

Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Aortic dissection is a life-threatening emergency.
  • It involves acute large vessel disease with high mortality.
  • Effective diagnosis and management are crucial.

Purpose of the Study:

  • To evaluate the role of color Doppler ultrasound in assessing aortic branches.
  • To analyze morphological and hemodynamic changes in major arteries post-aortic dissection surgery.
  • To highlight the complementary nature of various ultrasound modalities with CT angiography.

Main Methods:

  • Color Doppler ultrasound was used to analyze aortic branches.
  • Morphological and hemodynamic status of carotid, subclavian, renal, celiac, superior mesenteric, and iliac arteries were assessed.
  • Comparison with multi-slice spiral computed tomography angiography was considered.

Main Results:

  • Ultrasound provided insights into the status of aortic branches.
  • Changes were observed before and after aortic dissection surgery.
  • Various ultrasound techniques demonstrated their utility in conjunction with CT angiography.

Conclusions:

  • Color Doppler ultrasound is valuable for assessing aortic branches in dissection.
  • Ultrasound modalities complement CT angiography for diagnosis and prognosis.
  • Comprehensive imaging is key for managing aortic dissection.

Keywords:
Aortic dissectionechocardiographyultrasound

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