ACR Appropriateness Criteria® Thoracoabdominal Aortic Aneurysm or Dissection: Treatment Planning and Follow-Up

被引：2

作者：

Contrella, Benjamin N. ^{[1
]}

Khaja, Minhajuddin S. ^{[2
]}

Majdalany, Bill S. ^{[3
]}

Kim, Charles Y. ^{[4
]}

Kalva, Sanjeeva P. ^{[5
]}

Beck, Adam W. ^{[6
,7
]}

Browne, William F. ^{[8
]}

Clough, Rachel E. ^{[9
,10
]}

Ferencik, Maros ^{[11
,12
]}

Fleischman, Fernando ^{[13
,14
]}

Gunn, Andrew J. ^{[15
]}

Hickey, Sean M. ^{[16
,17
]}

Kandathil, Asha ^{[18
,19
]}

Kim, Karen M. ^{[2
,20
]}

Monroe, Eric J. ^{[21
]}

Chaar, Cassius Iyad Ochoa ^{[22
,23
]}

Scheidt, Matthew J. ^{[24
,25
]}

Smolock, Amanda R. ^{[24
,25
]}

Steenburg, Scott D. ^{[26
,27
,28
]}

Waite, Kathleen ^{[29
]}

Pinchot, Jason W. ^{[21
]}

Steigner, Michael L. ^{[30
]}

机构：

[1] Allegheny Hlth Network, Pittsburgh, PA USA

[2] Univ Michigan, Ann Arbor, MI 48109 USA

[3] Univ Vermont, Med Ctr, Burlington, VT USA

[4] Duke Univ, Med Ctr, Durham, NC USA

[5] Massachusetts Gen Hosp, Boston, MA 02114 USA

[6] Univ Alabama Birmingham, Med Ctr, Birmingham, AL 35294 USA

[7] Soc Vasc Surg, Rosemont, IL USA

[8] Weill Cornell Med, New York, NY USA

[9] Kings Coll London, Sch Biomed Engn & Imaging Sci, St Thomas Hosp, London, England

[10] Soc Cardiovasc Magnet Resonance, Chicago, IL USA

[11] Oregon Hlth & Sci Univ, Knight Cardiovasc Inst, Portland, OR 97201 USA

[12] Soc Cardiovasc Computed Tomog, Arlington, VA USA

[13] USC, Keck Sch Med, Los Angeles, CA USA

[14] Amer Assoc Thorac Surg, Beverly, MA USA

[15] Univ Alabama Birmingham, Birmingham, AL USA

[16] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[17] Amer Coll Emergency Phys, Irving, TX USA

[18] UT Southwestern Med Ctr, Dallas, TX USA

[19] Commiss Nucl Med & Mol Imaging, Reston, VA USA

[20] Soc Thorac Surg, Chicago, IL USA

[21] Univ Wisconsin, Madison, WI USA

[22] Yale Univ, Sch Med, New Haven, CT USA

[23] Soc Vasc Surg, Rosemont, IL USA

[24] Froedtert, Milwaukee, WI USA

[25] Med Coll Wisconsin, Milwaukee, WI 53226 USA

[26] Indiana Univ Sch Med, Indianapolis, IN 46202 USA

[27] Indiana Univ Hlth, Indianapolis, IN USA

[28] Comm Emergency Radiol GSER, Reston, VA USA

[29] Duke Univ, Med Ctr, Durham, NC USA

[30] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY | 2023年 / 20卷 / 05期

关键词：

Aneurysm; Appropriateness Criteria; Appropriate Use Criteria; AUC; Dissection; Endoleak; Imaging; Thoracoabdominal aorta; TEVAR; MAGNETIC-RESONANCE ANGIOGRAPHY; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; ENHANCED MR-ANGIOGRAPHY; ENDOVASCULAR REPAIR; THORACIC AORTA; CT ANGIOGRAPHY; ADAMKIEWICZ ARTERY; ENDOLEAK DETECTION; ARCH ANEURYSMS; IMAGE QUALITY;

D O I：

10.1016/j.jacr.2023.02.007

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

As the incidence of thoracoabdominal aortic pathology (aneurysm and dissection) rises and the complexity of endovascular and surgical treatment options increases, imaging follow-up of patients remains crucial. Patients with thoracoabdominal aortic pathology without intervention should be monitored carefully for changes in aortic size or morphology that could portend rupture or other complication. Patients who are post endovascular or open surgical aortic repair should undergo follow-up imaging to evaluate for complications, endoleak, or recurrent pathology. Considering the quality of diagnostic data, CT angiography and MR angiography are the preferred imaging modalities for follow-up of thoracoabdominal aortic pathology for most patients. The extent of thoracoabdominal aortic pathology and its potential complications involvemultiple regions of the body requiring imaging of the chest, abdomen, and pelvis inmost patients. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by amultidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

引用

页码：S265 / S284

页数：20

共 95 条

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