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Significant Arterial Dissection

MedGen UID:
476507
Concept ID:
C3274874
Disease or Syndrome

Definition

A dissection that impairs flow. This includes Type C (a persisting contrast medium extravasation) in the presence of ischemia, Type D (a spiral filling defect with delayed but complete distal flow), Type E (persistent filling defect with delayed antegrade flow) and Type F (filling defect with impaired flow and total occlusion). [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSignificant Arterial Dissection

Professional guidelines

PubMed

Roy S, Kabach M, Patel DB, Guzman LA, Jovin IS
Cardiovasc Revasc Med 2022 Jul;40:163-171. Epub 2021 Dec 16 doi: 10.1016/j.carrev.2021.12.007. PMID: 34952824
Tadros RO, Tang GHL, Barnes HJ, Mousavi I, Kovacic JC, Faries P, Olin JW, Marin ML, Adams DH
J Am Coll Cardiol 2019 Sep 17;74(11):1494-1504. doi: 10.1016/j.jacc.2019.07.063. PMID: 31514953
Medel R, Starke RM, Valle-Giler EP, Martin-Schild S, El Khoury R, Dumont AS
Curr Neurol Neurosci Rep 2014 Jan;14(1):419. doi: 10.1007/s11910-013-0419-3. PMID: 24272273

Recent clinical studies

Etiology

Li H, Song P, Yang W, Yang L, Diao S, Huang S, Wang Y, Xu X, Yang Y
Front Immunol 2021;12:820039. Epub 2022 Jan 21 doi: 10.3389/fimmu.2021.820039. PMID: 35126376Free PMC Article
Sayed A, Munir M, Bahbah EI
Curr Cardiol Rev 2021;17(4):e230421186875. doi: 10.2174/1573403X16666201014142930. PMID: 33059568Free PMC Article
Gudbjartsson T, Ahlsson A, Geirsson A, Gunn J, Hjortdal V, Jeppsson A, Mennander A, Zindovic I, Olsson C
Scand Cardiovasc J 2020 Feb;54(1):1-13. Epub 2019 Sep 23 doi: 10.1080/14017431.2019.1660401. PMID: 31542960
Evangelista A, Isselbacher EM, Bossone E, Gleason TG, Eusanio MD, Sechtem U, Ehrlich MP, Trimarchi S, Braverman AC, Myrmel T, Harris KM, Hutchinson S, O'Gara P, Suzuki T, Nienaber CA, Eagle KA; IRAD Investigators
Circulation 2018 Apr 24;137(17):1846-1860. doi: 10.1161/CIRCULATIONAHA.117.031264. PMID: 29685932
Bogousslavsky J, Regli F, Van Melle G, Payot M, Uske A
Neurology 1988 Feb;38(2):223-7. doi: 10.1212/wnl.38.2.223. PMID: 3340283

Diagnosis

Velchev JD, Van Laer L, Luyckx I, Dietz H, Loeys B
Adv Exp Med Biol 2021;1348:251-264. doi: 10.1007/978-3-030-80614-9_11. PMID: 34807423
Sayed A, Munir M, Bahbah EI
Curr Cardiol Rev 2021;17(4):e230421186875. doi: 10.2174/1573403X16666201014142930. PMID: 33059568Free PMC Article
Gudbjartsson T, Ahlsson A, Geirsson A, Gunn J, Hjortdal V, Jeppsson A, Mennander A, Zindovic I, Olsson C
Scand Cardiovasc J 2020 Feb;54(1):1-13. Epub 2019 Sep 23 doi: 10.1080/14017431.2019.1660401. PMID: 31542960
Markus HS, Levi C, King A, Madigan J, Norris J; Cervical Artery Dissection in Stroke Study (CADISS) Investigators
JAMA Neurol 2019 Jun 1;76(6):657-664. doi: 10.1001/jamaneurol.2019.0072. PMID: 30801621Free PMC Article
Evangelista A, Isselbacher EM, Bossone E, Gleason TG, Eusanio MD, Sechtem U, Ehrlich MP, Trimarchi S, Braverman AC, Myrmel T, Harris KM, Hutchinson S, O'Gara P, Suzuki T, Nienaber CA, Eagle KA; IRAD Investigators
Circulation 2018 Apr 24;137(17):1846-1860. doi: 10.1161/CIRCULATIONAHA.117.031264. PMID: 29685932

Therapy

Chen H, Li Y, Li Z, Shi Y, Zhu H
BMC Cardiovasc Disord 2023 Oct 10;23(1):497. doi: 10.1186/s12872-023-03448-9. PMID: 37817089Free PMC Article
Hibino M, Otaki Y, Kobeissi E, Pan H, Hibino H, Taddese H, Majeed A, Verma S, Konta T, Yamagata K, Fujimoto S, Tsuruya K, Narita I, Kasahara M, Shibagaki Y, Iseki K, Moriyama T, Kondo M, Asahi K, Watanabe T, Watanabe T, Watanabe M, Aune D
Circulation 2022 Mar;145(9):633-644. Epub 2021 Nov 8 doi: 10.1161/CIRCULATIONAHA.121.056546. PMID: 34743557
Gudbjartsson T, Ahlsson A, Geirsson A, Gunn J, Hjortdal V, Jeppsson A, Mennander A, Zindovic I, Olsson C
Scand Cardiovasc J 2020 Feb;54(1):1-13. Epub 2019 Sep 23 doi: 10.1080/14017431.2019.1660401. PMID: 31542960
Markus HS, Levi C, King A, Madigan J, Norris J; Cervical Artery Dissection in Stroke Study (CADISS) Investigators
JAMA Neurol 2019 Jun 1;76(6):657-664. doi: 10.1001/jamaneurol.2019.0072. PMID: 30801621Free PMC Article
Mussa FF, Horton JD, Moridzadeh R, Nicholson J, Trimarchi S, Eagle KA
JAMA 2016 Aug 16;316(7):754-63. doi: 10.1001/jama.2016.10026. PMID: 27533160

Prognosis

Gudbjartsson T, Ahlsson A, Geirsson A, Gunn J, Hjortdal V, Jeppsson A, Mennander A, Zindovic I, Olsson C
Scand Cardiovasc J 2020 Feb;54(1):1-13. Epub 2019 Sep 23 doi: 10.1080/14017431.2019.1660401. PMID: 31542960
Markus HS, Levi C, King A, Madigan J, Norris J; Cervical Artery Dissection in Stroke Study (CADISS) Investigators
JAMA Neurol 2019 Jun 1;76(6):657-664. doi: 10.1001/jamaneurol.2019.0072. PMID: 30801621Free PMC Article
Evangelista A, Isselbacher EM, Bossone E, Gleason TG, Eusanio MD, Sechtem U, Ehrlich MP, Trimarchi S, Braverman AC, Myrmel T, Harris KM, Hutchinson S, O'Gara P, Suzuki T, Nienaber CA, Eagle KA; IRAD Investigators
Circulation 2018 Apr 24;137(17):1846-1860. doi: 10.1161/CIRCULATIONAHA.117.031264. PMID: 29685932
Takagi H, Ando T, Umemoto T; (ALICE [All-Literature Investigation of Cardiovascular Evidence] Group)
Am J Cardiol 2017 Aug 15;120(4):700-707. Epub 2017 May 30 doi: 10.1016/j.amjcard.2017.05.040. PMID: 28648392
Pape LA, Awais M, Woznicki EM, Suzuki T, Trimarchi S, Evangelista A, Myrmel T, Larsen M, Harris KM, Greason K, Di Eusanio M, Bossone E, Montgomery DG, Eagle KA, Nienaber CA, Isselbacher EM, O'Gara P
J Am Coll Cardiol 2015 Jul 28;66(4):350-8. doi: 10.1016/j.jacc.2015.05.029. PMID: 26205591

Clinical prediction guides

Yang H, Shen H, Zhu G, Shao X, Chen Q, Yang F, Zhang Y, Zhang Y, Zhao K, Luo M, Zhou Z, Shu C
J Thorac Cardiovasc Surg 2023 Dec;166(6):1594-1603.e5. Epub 2022 Nov 12 doi: 10.1016/j.jtcvs.2022.11.004. PMID: 36517271
Li H, Song P, Yang W, Yang L, Diao S, Huang S, Wang Y, Xu X, Yang Y
Front Immunol 2021;12:820039. Epub 2022 Jan 21 doi: 10.3389/fimmu.2021.820039. PMID: 35126376Free PMC Article
Meng X, Han J, Wang L, Wu Q
J Card Surg 2021 Jul;36(7):2510-2517. Epub 2021 Apr 29 doi: 10.1111/jocs.15575. PMID: 33928681
Markus HS, Levi C, King A, Madigan J, Norris J; Cervical Artery Dissection in Stroke Study (CADISS) Investigators
JAMA Neurol 2019 Jun 1;76(6):657-664. doi: 10.1001/jamaneurol.2019.0072. PMID: 30801621Free PMC Article
Evangelista A, Isselbacher EM, Bossone E, Gleason TG, Eusanio MD, Sechtem U, Ehrlich MP, Trimarchi S, Braverman AC, Myrmel T, Harris KM, Hutchinson S, O'Gara P, Suzuki T, Nienaber CA, Eagle KA; IRAD Investigators
Circulation 2018 Apr 24;137(17):1846-1860. doi: 10.1161/CIRCULATIONAHA.117.031264. PMID: 29685932

Recent systematic reviews

Chen H, Li Y, Li Z, Shi Y, Zhu H
BMC Cardiovasc Disord 2023 Oct 10;23(1):497. doi: 10.1186/s12872-023-03448-9. PMID: 37817089Free PMC Article
Ramandi A, Akbarzadeh MA, Khaheshi I, Khalilian MR
Curr Probl Cardiol 2023 Jun;48(6):101129. Epub 2022 Feb 6 doi: 10.1016/j.cpcardiol.2022.101129. PMID: 35139402Free PMC Article
Hibino M, Otaki Y, Kobeissi E, Pan H, Hibino H, Taddese H, Majeed A, Verma S, Konta T, Yamagata K, Fujimoto S, Tsuruya K, Narita I, Kasahara M, Shibagaki Y, Iseki K, Moriyama T, Kondo M, Asahi K, Watanabe T, Watanabe T, Watanabe M, Aune D
Circulation 2022 Mar;145(9):633-644. Epub 2021 Nov 8 doi: 10.1161/CIRCULATIONAHA.121.056546. PMID: 34743557
Meng X, Han J, Wang L, Wu Q
J Card Surg 2021 Jul;36(7):2510-2517. Epub 2021 Apr 29 doi: 10.1111/jocs.15575. PMID: 33928681
Mussa FF, Horton JD, Moridzadeh R, Nicholson J, Trimarchi S, Eagle KA
JAMA 2016 Aug 16;316(7):754-63. doi: 10.1001/jama.2016.10026. PMID: 27533160

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