The Role of False Lumen Size in Prediction of In-Hospital Complications After Acute Type B Aortic Dissection

• Published in: Journal of the American College of Cardiology Vol. 52; no. 14; pp. 1170 - 1176
• Main Authors: Chang, Chih-Ping, MD, Liu, Juhn-Cherng, MD, Liou, Ying-Ming, PhD, Chang, Shih-Sheng, MD, Chen, Jan-Yow, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 30.09.2008; Elsevier Science; Elsevier Limited
• Subjects: acute complications; Adult; Aged; Aortic Diseases - complications; Aortic Diseases - diagnostic imaging; Biological and medical sciences; Blood and lymphatic vessels; Blood pressure; Cardiology; Cardiology. Vascular system; Cardiovascular; Coronary vessels; Diseases of the aorta; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Dissection; Female; Hospitalization; Hospitals; Humans; Internal Medicine; Ischemia; Ischemia - etiology; Male; Medical sciences; Middle Aged; Mortality; Patients; predictors; Renal Insufficiency - etiology; Risk Factors; Scanners; Statistical analysis; Tomography; Tomography, X-Ray Computed; type B aortic dissection; Veins & arteries; predictors; computed tomography; LL; maximal aortic diameter; MFLA; CT; MAD; maximal false lumen area; longitudinal length; BVI; branch-vessel involvement; minimal true lumen area; acute complications; MTLA; type B aortic dissection; Acute; Size; Prediction; Cardiovascular disease; Arterial disease; Vascular disease; Type; Aortic dissection; Complication; Circulatory system; Hospital; Cardiology; Aortic disease
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2008.06.034

The Role of False Lumen Size in Prediction of In-Hospital Complications After Acute Type B Aortic Dissection Chih-Ping Chang, Juhn-Cherng Liu, Ying-Ming Liou, Shih-Sheng Chang, Jan-Yow Chen Fifty-five acute type B aortic dissection patients were divided into groups distinguished by either a stable hospital course (group 1) or in-hospital complications (group 2). The maximal false lumen area (MFLA) of group 2 was larger than group 1 (group 1 vs. group 2 = 577.7 ± 273.2 mm2 vs. 1,899.3 ± 1,642.4 mm2 , p < 0.001). The number of branch-vessel involvement (BVI) was higher in group 2 (group 1 vs. group 2 = 1.0 ± 1.1 vs. 3.3 ± 2.0, p < 0.001). Multivariate analysis revealed that the MFLA and number of BVI were independent predictors of in-hospital complications.