scholarly journals Review on Aortic Dissection Diagnostic & Management Approach in Emergency Department

2021 ◽  
Vol 10 (4) ◽  
pp. 13-19
Author(s):  
Somayya Khalid Khan ◽  
Khalid Abdullah Alshehab ◽  
Omar Mohamed Baglagel ◽  
Saud Faisal Aljuraysi ◽  
Mohammed Bahar Mohammed Shibli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Aortic Dissection ◽  
Management Approach ◽  
Diagnostic Management

Type A aortic dissection: involvement of carotid artery and impact on cerebral malperfusion

2020 ◽  
pp. 021849232098432
Author(s):  
Wahaj Munir ◽  
Jun Heng Chong ◽  
Amer Harky ◽  
Mohamad Bashir ◽  
Benjamin Adams
Keyword(s):  
Carotid Artery ◽  
Aortic Dissection ◽  
Type A ◽  
Current Evidence ◽  
Management Approach ◽  
Complex Nature ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Cerebral Malperfusion ◽  
The Impact

Acute type A aortic dissection is a surgical emergency and management of such pathology can be complex with poor outcomes when there is organ malperfusion. Carotid artery involvement is present in 30% of patients diagnosed with acute type A aortic dissection, and given its emergency and complex nature, there is much controversy regarding the approach, extent of treatment, and timing of the intervention. It is clear that the occurrence of cerebral malperfusion adds an extra layer of complexity to the decision-making framework for treatment. Standardization and validation of the optimal management approach is required, and this should ideally be addressed with large-scale studies. Nonetheless, current literature supports the need for rapid recognition and diagnosis of acute type A aortic dissection with cerebral malperfusion, immediate and extensive surgical repair, and the appropriate use of cerebral perfusion techniques. This paper aims to discuss the current evidence regarding the impact of carotid artery involvement in both the management and outcomes of acute type A aortic dissection.

Two Cases of Traumatic Aortic Dissection Diagnosed Early by Transesophageal Echocardiography in the Emergency Department

1999 ◽  
Vol 29 (2) ◽  
pp. 222
Author(s):  
Si Kyoung Jung ◽  
Ho Joong Youn ◽  
Kyu Nam Park ◽  
Seung Hyun Park ◽  
Ung Jin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Aortic Dissection ◽  
Transesophageal Echocardiography ◽  
Traumatic Aortic Dissection

scholarly journals An Overview on Ischemic Colitis Diagnostic & Management Approach

2021 ◽  
Vol 10 (1) ◽  
pp. 52-56
Author(s):  
Galwy Abdulrahman Kurkuman ◽  
Hassan Amer A Alsaluli ◽  
Omar Ahmed Mohammed Alshehri ◽  
Mansour Abdullah M. Alsuayri ◽  
Saad Haif Saeed Alqahtani ◽  
...  
Keyword(s):  
Ischemic Colitis ◽  
Management Approach ◽  
Diagnostic Management

Triple rule-out CT angiography protocol with restricting field of view for detection of pulmonary thromboembolism and aortic dissection in emergency department patients: simulation of modified CT protocol for reducing radiation dose

2016 ◽  
Vol 58 (5) ◽  
pp. 521-527 ◽  
Author(s):  
Hyun Su Kim ◽  
Sung Mok Kim ◽  
Min Jae Cha ◽  
Yoo Na Kim ◽  
Hae Jin Kim ◽  
...  
Keyword(s):  
Emergency Department ◽  
Radiation Dose ◽  
Aortic Dissection ◽  
Ct Angiography ◽  
Pulmonary Thromboembolism ◽  
Acute Chest Pain ◽  
Field Of View ◽  
Ct Protocol ◽  
Triple Rule Out ◽  
Rule Out

Background Triple rule-out computed tomography (TRO CT) is a CT protocol designed to simultaneously evaluate the coronary, aorta, and pulmonary arteries. Purpose To evaluate potential diagnostic performance of TRO CT with restricted volume coverage for detection of pulmonary thromboembolism (PTE) and aortic dissection (AD). Material and Methods This study included 1224 consecutive patients with acute chest pain who visited the emergency department and underwent TRO CT using a 128-slice dual-source CT. Image data were reconstructed according to the display field of view (DFOV) of coronary CT angiography (CCTA) and TRO CT protocols in each patient. The presence of PTE and AD was evaluated by independent observers in each DFOV. The radiation dose was calculated to evaluate the potential benefits by restricting z-axis coverage to cardiac scan range instead of the whole thorax. Results Among all patients, 22 cases with PTE (1.9%) and nine cases with AD (0.8%) were found. Except for one PTE case, all cases were detected on both DFOV of TRO CT and CCTA. Mean effective dose for evaluation of entire thorax and cardiac scan coverage were 5.9 ± 1.1 mSv and 3.5 ± 0.7 mSv, respectively. Conclusion Isolated PTE and AD outside the CCTA DFOV rarely occur. Therefore, modified TRO CT protocol using cardiac scan coverage can be adopted to detect PTE and AD with reduced radiation dose.

532 Clinical characteristics and diagnostic management of patients attended because of syncope in emergency department in Spain: a prospective study

EP Europace ◽  
2005 ◽  
Vol 7 (Supplement_1) ◽  
pp. 115-115
Author(s):  
A. Moya i Mitjans ◽  
A. Mart n ◽  
R. Garc a Civera ◽  
C. Del Arco ◽  
G. Bar n ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Clinical Characteristics ◽  
Diagnostic Management ◽  
A Prospective Study

Dedicated MRI in the emergency department to expedite diagnostic management of hip fracture

2019 ◽  
Vol 27 (1) ◽  
pp. 41-44 ◽  
Author(s):  
Holly Gil ◽  
Ashley A. Tuttle ◽  
Laura A. Dean ◽  
David A. Johnson ◽  
David Portelli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hip Fracture ◽  
Diagnostic Management ◽  
Dedicated Mri

scholarly journals Detection of Type B Aortic Dissection in the Emergency Department with Point-of-Care Ultrasound

2019 ◽  
Vol 3 (3) ◽  
pp. 202-207 ◽  
Author(s):  
Emily Earl-Royal ◽  
Phi Nguyen ◽  
Al’ai Alvarez ◽  
Laleh Gharahbaghian
Keyword(s):  
Emergency Department ◽  
Aortic Dissection ◽  
Point Of Care ◽  
Case Reports ◽  
Point Of Care Ultrasound ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Diagnostic Reliability ◽  
Multiple Case ◽  
Stanford Type B

Aortic dissection (AD) is a rare, time-sensitive, and potentially fatal condition that can present with subtle signs requiring timely diagnosis and intervention. Although definitive diagnosis is most accurately made through computed tomography angiography, this can be a time-consuming study and the patient may be unstable, thus preventing the study’s completion. Chest radiography (CXR) signs of AD are classically taught yet have poor diagnostic reliability. Point-of-care ultrasound (POCUS) is increasingly used by emergency physicians for the rapid diagnosis of emergent conditions, with multiple case reports illustrating the sonographic signs of AD. We present a case of Stanford type B AD diagnosed by POCUS in the emergency department in a patient with vague symptoms, normal CXR, and without aorta dilation. A subsequent review of CXR versus sonographic signs of AD is described.

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