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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Time is of the essence: where can we improve care in acute aortic dissection?

Shekhar Saha1, Thomas G Fabry1, Joscha Buech1

  • 1Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.

Interactive Cardiovascular and Thoracic Surgery
|July 13, 2021
PubMed

Insights

Delays in diagnosing acute aortic dissection type A (AADA) significantly impact treatment. Optimizing diagnostic awareness is crucial for timely intervention in AADA patients.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Acute aortic dissection type A (AADA) is a life-threatening condition requiring prompt diagnosis and treatment.
  • The diagnostic and logistical pathways for AADA can introduce delays, affecting patient outcomes.

Purpose of the Study:

  • To characterize components of the diagnostic and logistic pathways for AADA.
  • To identify factors contributing to delayed optimal management of AADA within a referral network.

Main Methods:

  • Retrospective analysis of 96 consecutive patients with AADA admitted or referred between January 2017 and January 2020.
  • Data collection focused on time intervals from symptom onset to diagnosis, transfer, anesthesia, and surgery.

Main Results:

  • Median age of patients was 66 years, with 63% males.
  • The total median interval from symptom onset to surgery was 7.6 hours.
  • Significant variability was observed in the time from symptom onset to diagnosis (median 4.2 hours from onset to confirmed diagnosis).

Conclusions:

  • Variability in diagnosis time highlights the need for increased awareness of AADA.
  • Optimizing diagnostic pathways is essential for improving the management of acute aortic dissection type A.
Abstract

Keywords:
AortaAortic dissectionAortic surgeryLogisticsTime to diagnosisTimingTransfer

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