Preston George Smith MD, Presenter: Nothing to Disclose

Anastasia Frances Barron DO, Abstract Co-Author: Nothing to Disclose

Ulku Cenk Turba MD, Abstract Co-Author: Nothing to Disclose

Bulent Arslan MD, Abstract Co-Author: Advisory Board, Nordion, Inc Advisory Board, Angiotech Pharmaceuticals, Inc Speakers Bureau, Nordion, Inc Speakers Bureau, W. L. Gore & Associates, Inc Consultant, Bayer AG

1.  To highlight key anatomic findings of aortic dissection on CT Angiography and detection of fenestrations, now assuming increasing relevance with the rising role of endovascular repair. 2.  To review the accepted classification systems of aortic dissection demonstrated on CT Angiography as well as newly proposed systems of evaluating thoracic aortic dissection.

1. Purpose: Emphasize important points of current models for assessment of aortic dissection. 2. Background:     a.  Thoracic Aortic Dissection statistics.     b.  Accepted classification systems         i.  current limitations (loopholes)     c.  Review newly proposed criteria 3. Example cases displaying important points from new and old criteria and common misreads based on loopholes in current classifications systems which have potential medicolegal ramifications     a.  Primary entry tear sites as well as extent and directional propagation of dissection         i.  several appearances of true lumens     b. Status of the false lumen and extent and location of fenestrations     c. Branch vessel involvement         i.  static         ii. dynamic 4. Potential complications of new management approaches that may be related to endovascular management approaches. 5. Conclusion

http://abstract.rsna.org/uploads/2014/14011928/14011928_rjw9.pdf

Smith, P, Barron, A, Turba, U, Arslan, B, Current State of Aortic Dissection Classification and Management.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14011928.html