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Changes in Aortic Wall Thickness at a Site of Entry Tear on Computed Tomography before Development of Acute Aortic Dissection
Objective: To determine if there are changes in the aortic wall before acute aortic dissection (AD) that can be observed on contrast-enhanced computed tomography (CECT). Materials and Methods: Twenty-two patients with AD who underwent CECT before developing AD were retrospectively identified and enr...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766757/ https://www.ncbi.nlm.nih.gov/pubmed/31636750 http://dx.doi.org/10.3400/avd.oa.19-00051 |
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author | Saito, Hidemasa Hayashi, Hiromitsu Ueda, Tatsuo Mine, Takahiko Kumita, Shin-ichiro |
author_facet | Saito, Hidemasa Hayashi, Hiromitsu Ueda, Tatsuo Mine, Takahiko Kumita, Shin-ichiro |
author_sort | Saito, Hidemasa |
collection | PubMed |
description | Objective: To determine if there are changes in the aortic wall before acute aortic dissection (AD) that can be observed on contrast-enhanced computed tomography (CECT). Materials and Methods: Twenty-two patients with AD who underwent CECT before developing AD were retrospectively identified and enrolled as the AD group. Twenty-five consecutive patients who underwent CECT and did not develop AD were enrolled as the control group. In the AD group, the site of entry tear was detected on CECT images; the aortic wall thickness at this site, defined as the dissection-related wall thickness (D-T), was then measured on CECT images acquired before AD. Moreover, the mean thickness of the ascending, thoracic descending, and abdominal aortic walls before AD was defined as the non-dissection-related wall thickness (non-D-T). In the control group, the aortic wall thickness was measured similarly and defined as the control wall thickness (C-T). The D-T, non-D-T, and C-T values were compared using one-way analysis of variance with the Games–Howell pairwise comparison test. Results: The D-T (2.17±0.75 mm) was significantly greater than the non-D-T (1.58±0.22 mm; P<.01) and C-T (1.53±0.15 mm; P<.01). Conclusion: The aortic wall may have become thicker prior to the onset of AD. |
format | Online Article Text |
id | pubmed-6766757 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology |
record_format | MEDLINE/PubMed |
spelling | pubmed-67667572019-10-21 Changes in Aortic Wall Thickness at a Site of Entry Tear on Computed Tomography before Development of Acute Aortic Dissection Saito, Hidemasa Hayashi, Hiromitsu Ueda, Tatsuo Mine, Takahiko Kumita, Shin-ichiro Ann Vasc Dis Original Article Objective: To determine if there are changes in the aortic wall before acute aortic dissection (AD) that can be observed on contrast-enhanced computed tomography (CECT). Materials and Methods: Twenty-two patients with AD who underwent CECT before developing AD were retrospectively identified and enrolled as the AD group. Twenty-five consecutive patients who underwent CECT and did not develop AD were enrolled as the control group. In the AD group, the site of entry tear was detected on CECT images; the aortic wall thickness at this site, defined as the dissection-related wall thickness (D-T), was then measured on CECT images acquired before AD. Moreover, the mean thickness of the ascending, thoracic descending, and abdominal aortic walls before AD was defined as the non-dissection-related wall thickness (non-D-T). In the control group, the aortic wall thickness was measured similarly and defined as the control wall thickness (C-T). The D-T, non-D-T, and C-T values were compared using one-way analysis of variance with the Games–Howell pairwise comparison test. Results: The D-T (2.17±0.75 mm) was significantly greater than the non-D-T (1.58±0.22 mm; P<.01) and C-T (1.53±0.15 mm; P<.01). Conclusion: The aortic wall may have become thicker prior to the onset of AD. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-09-25 /pmc/articles/PMC6766757/ /pubmed/31636750 http://dx.doi.org/10.3400/avd.oa.19-00051 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original. |
spellingShingle | Original Article Saito, Hidemasa Hayashi, Hiromitsu Ueda, Tatsuo Mine, Takahiko Kumita, Shin-ichiro Changes in Aortic Wall Thickness at a Site of Entry Tear on Computed Tomography before Development of Acute Aortic Dissection |
title | Changes in Aortic Wall Thickness at a Site of Entry Tear on Computed Tomography before Development of Acute Aortic Dissection |
title_full | Changes in Aortic Wall Thickness at a Site of Entry Tear on Computed Tomography before Development of Acute Aortic Dissection |
title_fullStr | Changes in Aortic Wall Thickness at a Site of Entry Tear on Computed Tomography before Development of Acute Aortic Dissection |
title_full_unstemmed | Changes in Aortic Wall Thickness at a Site of Entry Tear on Computed Tomography before Development of Acute Aortic Dissection |
title_short | Changes in Aortic Wall Thickness at a Site of Entry Tear on Computed Tomography before Development of Acute Aortic Dissection |
title_sort | changes in aortic wall thickness at a site of entry tear on computed tomography before development of acute aortic dissection |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766757/ https://www.ncbi.nlm.nih.gov/pubmed/31636750 http://dx.doi.org/10.3400/avd.oa.19-00051 |
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