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Surveillance Imaging Following Acute Type A Aortic Dissection

Sunday, October 31, 2021

Submitted by

Wei-Guo Ma

Source

Source Name: Journal of the American College of Cardiology

Source URL: https://www.sciencedirect.com/science/article/pii/S0735109721062185

Author(s)

Kevin R. An, Charlesde Mestral, Derrick Y. Tam, Feng Qiu, Maral Ouzounian, Thomas F. Lindsay, Harindra C. Wijeysundera, and Jennifer C.-Y. Chung

In this large series, Dr. Chung and associates performed a study on completeness of guideline-directed imaging surveillance (GDIS) and its association with long-term outcomes. In 888 patients with acute type A dissection who survived surgical repair, 14% received GDIS throughout a median follow-up of 5.2 years, and GDIS was available in 3.4% at 6 years. Intriguingly, greater adherence to GDIS was associated with mortality (hazard ratio: 1.08; 95% confidence interval: 1.05-1.11) and reintervention (hazard ratio: 1.04; 95% confidence interval: 1.01-1.07).