Dissezione aortica e sindrome da malperfusione: quando intervenire, cosa e come fare

Translated title of the contribution: Aortic dissection and malperfusion syndrome: A when, what and how-to guide

M. Midulla, R. Fattori, J. P. Beregi, M. Dake, H. Rousseau

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Malperfusion syndrome is a complication of aortic dissection caused by branch-vessel involvement and resulting in end-organ ischaemic dysfunction. Clinical diagnosis is mandatory, and imaging plays a critical role in confirmation and treatment planning. Radiologists must focus on detecting complications (findings of aortic dilation, rupture, organ ischaemia, etc.) and defining vascular compromise and associated malperfusion mechanisms. All these factors guide the multidisciplinary discussion concerning patient management and the suitability of endovascular treatment. Application of dedicated imaging protocols is mandatory in order to answer clinical and anatomical questions. Endovascular therapy has taken a predominant role in the therapeutic management of malperfusion syndrome with aortic fenestration, peripheral stenting and stent-grafting, all of which are procedures within the domain of expertise of current interventional radiologists. The purpose of this editorial is to present a when, what and how-to guide for all radiologists who encounter complicated aortic dissection.

Translated title of the contributionAortic dissection and malperfusion syndrome: A when, what and how-to guide
Original languageItalian
Pages (from-to)74-88
Number of pages15
JournalRadiologia Medica
Volume118
Issue number1
DOIs
StatePublished - Feb 1 2013
Externally publishedYes

Keywords

  • Aortic dissection
  • Fenestration
  • Malperfusion
  • Stent-graft

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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