European Journal of Vascular & Endovascular Surgery
Volume 37, Issue 2 , Pages 149-159 , February 2009

Acute Aortic Dissection: Perspectives from the International Registry of Acute Aortic Dissection (IRAD)

  • T.T. Tsai

      Affiliations

    • Health Services Research and Development Center, Denver Veterans Affairs Medical Center, Denver, CO, USA
    • Department of Internal Medicine, Division of Cardiovascular Medicine, University of Colorado, Denver, USA
    • Corresponding Author InformationCorresponding author. T.T. Tsai, MD, MSc, Assistant Professor, University of Colorado Denver, Director, Interventional Cardiology, Denver VA Medical Center, Cardiology Section (111B), 1055 Clermont St., Denver, CO 80220, USA. Tel.: +1 303 399 8020x6105/2385 (office); fax: +1 303 393 5054.
  • ,
  • S. Trimarchi

      Affiliations

    • Cardiovascular Center “E. Malan,” Policlinico S. Donato IRCCS, S. Donato Milanese, Italy
  • ,
  • C.A. Nienaber

      Affiliations

    • University of Rostock, Rostock, Germany

Received 17 November 2008 ,Accepted 18 November 2008.

References 

  1. Hirst AE, Johns VJ, Kime SW. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine (Baltimore). 1958;37:217–279
  2. Elveback L, Lie JT. Continued high incidence of coronary artery disease at autopsy in Olmsted County, Minnesota, 1950 to 1979. Circulation. 1984;70:345–349
  3. Roger VL, Weston SA, Killian JM, Pfeifer EA, Belau PG, Kottke TE, et al. Time trends in the prevalence of atherosclerosis: a population-based autopsy study. Am J Med. 2001;110:267–273
  4. von Kodolitsch Y, Schwartz AG, Nienaber CA. Clinical prediction of acute aortic dissection. Arch Intern Med. 2000;160:2977–2982
  5. David P, McPeak E, Vivas-Salas E. Dissecting aneurysm of aorta; review of 17 autopsied cases of acute dissecting aneurysm of aorta encountered at Massachusetts general hospital from 1937 through 1946 inclusive, 8 of which were correctly diagnosed antemortem. Ann Intern Med. 1947;27:405–412
  6. Levinson DC, Edmaedes DT, Griffith GC. Dissecting aneurysm of the aorta; its clinical, electrocardiographic and laboratory features; a report of 58 autopsied cases. Circulation. 1950;1:360–387
  7. Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283:897–903
  8. Hsue PY, Salinas CL, Bolger AF, Benowitz NL, Waters DD. Acute aortic dissection related to crack cocaine. Circulation. 2002;105:1592–1595
  9. Eagle KA, Isselbacher EM, DeSanctis RW. Cocaine-related aortic dissection in perspective. Circulation. 2002;105:1529–1530
  10. Gan X, Zhang L, Berger O, Stins MF, Way D, Taub DD, et al. Cocaine enhances brain endothelial adhesion molecules and leukocyte migration. Clin Immunol. 1999;91:68–76
  11. Kolodgie FD, Virmani R, Cornhill JF, Herderick EE, Smialek J. Increase in atherosclerosis and adventitial mast cells in cocaine abusers: an alternative mechanism of cocaine-associated coronary vasospasm and thrombosis. J Am Coll Cardiol. 1991;17:1553–1560
  12. Kolodgie FD, Wilson PS, Mergner WJ, Virmani R. Cocaine-induced increase in the permeability function of human vascular endothelial cell monolayers. Exp Mol Pathol. 1999;66:109–122
  13. Miller DC, Mitchell RS, Oyer PE, Stinson EB, Jamieson SW, Shumway NE. Independent determinants of operative mortality for patients with aortic dissections. Circulation. 1984;70:I153–I164
  14. Ehrlich M, Fang WC, Grabenwoger M, Cartes-Zumelzu F, Wolner E, Havel M. Perioperative risk factors for mortality in patients with acute type A aortic dissection. Circulation. 1998;98:II294–II298
  15. Fann JI, Smith JA, Miller DC, Mitchell RS, Moore KA, Grunkemeier G, et al. Surgical management of aortic dissection during a 30-year period. Circulation. 1995;92:II113–II121
  16. Mehta RH, Suzuki T, Hagan PG, Bossone E, Gilon D, Llovet A, et al. Predicting death in patients with acute type A aortic dissection. Circulation. 2002;105:200–206
  17. Nienaber CA, Fattori R, Mehta RH, Richartz BM, Evangelista A, Petzsch M, et al. Gender-related differences in acute aortic dissection. Circulation. 2004;109:3014–3021
  18. Tsai TT, Evangelista A, Nienaber CA, Trimarchi S, Sechtem U, Fattori R, et al. Long-term survival in patients presenting with type A acute aortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation. 2006;114:I350–I356
  19. Suzuki T, Mehta RH, Ince H, Nagai R, Sakomura Y, Weber F, et al. Clinical profiles and outcomes of acute type B aortic dissection in the current era: lessons from the International Registry of Aortic Dissection (IRAD). Circulation. 2003;108(Suppl. 1):II312–II317
  20. Glower DD, Speier RH, White WD, Smith LR, Rankin JS, Wolfe WG. Management and long-term outcome of aortic dissection. Ann Surg. 1991;214:31–41
  21. Miller DC. The continuing dilemma concerning medical versus surgical management of patients with acute type B dissections. Semin Thorac Cardiovasc Surg. 1993;5:33–46
  22. Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Dissection of the aorta and dissecting aortic aneurysms. Improving early and long-term surgical results. Circulation. 1990;82:IV24–IV38
  23. Tsai TT, Fattori R, Trimarchi S, Isselbacher E, Myrmel T, Evangelista A, et al. Long-term survival in patients presenting with type b acute aortic dissection. insights from the International Registry of Acute Aortic Dissection. Circulation. 2006;
  24. Mohr-Kahaly S, Erbel R, Kearney P, Puth M, Meyer J. Aortic intramural hemorrhage visualized by transesophageal echocardiography: findings and prognostic implications. J Am Coll Cardiol. 1994;23:658–664
  25. Nienaber CA, Richartz BM, Rehders T, Ince H, Petzsch M. Aortic intramural haematoma: natural history and predictive factors for complications. Heart. 2004;90:372–374
  26. Nienaber CA, Eagle KA. Aortic dissection: new frontiers in diagnosis and management: part II: therapeutic management and follow-up. Circulation. 2003;108:772–778
  27. Kaji S, Akasaka T, Horibata Y, Nishigami K, Shono H, Katayama M, et al. Long-term prognosis of patients with type A aortic intramural hematoma. Circulation. 2002;106:I248–I252
  28. Kaji S, Nishigami K, Akasaka T, Hozumi T, Takagi T, Kawamoto T, et al. Prediction of progression or regression of type A aortic intramural hematoma by computed tomography. Circulation. 1999;100:II281–II286
  29. Neri E, Capannini G, Carone E, Diciolla F, Sassi C. Evolution toward dissection of an intramural hematoma of the ascending aorta. Ann Thorac Surg. 1999;68:1855–1856
  30. Evangelista A, Mukherjee D, Mehta RH, O'Gara PT, Fattori R, Cooper JV, et al. Acute intramural hematoma of the aorta: a mystery in evolution. Circulation. 2005;111:1063–1070
  31. Bickerstaff LK, Pairolero PC, Hollier LH, Melton LJ, Van Peenen HJ, Cherry KJ, et al. Thoracic aortic aneurysms: a population-based study. Surgery. 1982;92:1103–1108
  32. Nallamothu BK, Mehta RH, Saint S, Llovet A, Bossone E, Cooper JV, et al. Syncope in acute aortic dissection: diagnostic, prognostic, and clinical implications. Am J Med. 2002;113:468–471
  33. Cambria RP, Brewster DC, Gertler J, Moncure AC, Gusberg R, Tilson MD, et al. Vascular complications associated with spontaneous aortic dissection. J Vasc Surg. 1988;7:199–209
  34. Fann JI, Sarris GE, Mitchell RS, Shumway NE, Stinson EB, Oyer PE, et al. Treatment of patients with aortic dissection presenting with peripheral vascular complications. Ann Surg. 1990;212:705–713
  35. Bossone E, Rampoldi V, Nienaber CA, Trimarchi S, Ballotta A, Cooper JV, et al. Usefulness of pulse deficit to predict in-hospital complications and mortality in patients with acute type A aortic dissection. Am J Cardiol. 2002;89:851–855
  36. Park SW, Hutchison S, Mehta RH, Isselbacher EM, Cooper JV, Fang J, et al. Association of painless acute aortic dissection with increased mortality. Mayo Clin Proc. 2004;79:1252–1257
  37. Tsai TT, Bossone E, Isselbacher EM, Nienaber CA, Evangelista A, Fang J, et al. Clinical characteristics of hypotension in patients with acute aortic dissection. Am J Cardiol. 2005;95:48–52
  38. Moore AG, Eagle KA, Bruckman D, Moon BS, Malouf JF, Fattori R, et al. Choice of computed tomography, transesophageal echocardiography, magnetic resonance imaging, and aortography in acute aortic dissection: International Registry of Acute Aortic Dissection (IRAD). Am J Cardiol. 2002;89:1235–1238
  39. Trimarchi S, Nienaber CA, Rampoldi V, Myrmel T, Suzuki T, Mehta RH, et al. Contemporary results of surgery in acute type A aortic dissection: The International Registry of Acute Aortic Dissection experience. J Thorac Cardiovasc Surg. 2005;129:112–122
  40. Rampoldi V, Trimarchi S, Eagle KA, Nienaber CA, Oh JK, Bossone E, et al. Simple risk models to predict surgical mortality in acute type A aortic dissection: the International Registry of Acute Aortic Dissection score. Ann Thorac Surg. 2007;83:55–61
  41. Nienaber CA, Zannetti S, Barbieri B, Kische S, Schareck W, Rehders TC. Investigation of STEnt grafts in patients with type B aortic dissection: design of the INSTEAD trial–a prospective, multicenter, European randomized trial. Am Heart J. 2005;149:592–599
  42. Fattori R, Napoli G, Lovato L, Grazia C, Piva T, Rocchi G, et al. Descending thoracic aortic diseases: stent-graft repair. Radiology. 2003;229:176–183
  43. Fattori R, Tsai TT, Myrmel T, Evangelista A, Cooper JV, Trimarchi S, et al. Complicated acute type B dissection: is surgery still the best option?: a report from the International Registry of Acute Aortic Dissection (IRAD). J Am Coll Cardiol Intv. 2008;1:395–402
  44. Trimarchi S, Nienaber CA, Rampoldi V, Myrmel T, Suzuki T, Bossone E, et al. Role and results of surgery in acute type B aortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation. 2006;114:357–364
  45. Pape LA, Tsai TT, Isselbacher EM, Oh JK, O'Gara PT, Evangelista A, et al. Aortic diameter ≥5.5cm Is not a good predictor of type A aortic dissection: observations from the International Registry of Acute Aortic Dissection (IRAD). Circulation. 2007;116:1120–1127
  46. Bernard Y, Zimmermann H, Chocron S, Litzler JF, Kastler B, Etievent JP, et al. False lumen patency as a predictor of late outcome in aortic dissection. Am J Cardiol. 2001;87:1378–1382
  47. Erbel R, Engberding R, Daniel W, Roelandt J, Visser C, Rennollet H. Echocardiography in diagnosis of aortic dissection. Lancet. 1989;1:457–461
  48. Pretre R, Von Segesser LK. Aortic dissection. Lancet. 1997;349:1461–1464
  49. Satta J, Laara E, Juvonen T. Intraluminal thrombus predicts rupture of an abdominal aortic aneurysm. J Vasc Surg. 1996;23:737–739
  50. Wolf YG, Thomas WS, Brennan FJ, Goff WG, Sise MJ, Bernstein EF. Computed tomography scanning findings associated with rapid expansion of abdominal aortic aneurysms. J Vasc Surg. 1994;20:529–535[discussion 535–538]
  51. Vorp DA, Lee PC, Wang DH, Makaroun MS, Nemoto EM, Ogawa S, et al. Association of intraluminal thrombus in abdominal aortic aneurysm with local hypoxia and wall weakening. J Vasc Surg. 2001;34:291–299
  52. Williams DM, LePage MA, Lee DY. The dissected aorta: part I. Early anatomic changes in an in vitro model. Radiology. 1997;203:23–31
  53. Chung JW, Elkins C, Sakai T, Kato N, Vestring T, Semba CP, et al. True-lumen collapse in aortic dissection: part I. Evaluation of causative factors in phantoms with pulsatile flow. Radiology. 2000;214:87–98
  54. Chung JW, Elkins C, Sakai T, Kato N, Vestring T, Semba CP, et al. True-lumen collapse in aortic dissection: part II. Evaluation of treatment methods in phantoms with pulsatile flow. Radiology. 2000;214:99–106
  55. Tsai TT, Evangelista A, Nienaber CA, Myrmel T, Meinhardt G, Cooper JV, et al. Partial thrombosis of the false lumen in patients with acute type B aortic dissection. N Engl J Med. 2007;357:349–359
  56. Nienaber CA, Eagle KA. Aortic dissection: new frontiers in diagnosis and management: Part I: from etiology to diagnostic strategies. Circulation. 2003;108:628–635
  57. Tsai TT, Nienaber CA, Eagle KA. Acute aortic syndromes. Circulation. 2005;112:3802–3813

PII: S1078-5884(08)00649-7

doi: 10.1016/j.ejvs.2008.11.032

European Journal of Vascular & Endovascular Surgery
Volume 37, Issue 2 , Pages 149-159 , February 2009