Abdominal Aortic Emergencies

There is a common thread of risk factors and causes of these diseases, including age, male gender, hypertension, dyslipidemia, and connective tissue disorders. The most common presenting symptom of these disorders is pain, usually in the chest, flank, abdomen, or back. Computed tomography scan is the gold standard for diagnosis of pathologic conditions of the aorta in the hemodynamically stable patient.

Acute aortic syndromes and aortic emergencies

It is important to be familiar with the terminology used in the description of AAS/aortic emergencies and their respective implications. Radiology plays a highly valuable role in the management AAS and aortic emergencies. Radiographs are easily obtainable and often the first imaging modality performed. CTA is the most widely used imaging technique.

Aortic Emergencies

Aortic conditions often go unrecognized or untreated until it is too late. Prompt recognition and management are critical to achieving optimal results. For the past twenty years,

Aortic Emergencies Part II: Abdominal Aneurysms And Aortic Trauma

Ruptured abdominal aortic aneurysms (AAAs) are a highly lethal vascular emergency. Mortality from out-of-hospital rupture is over 60%, while patients who survive to hospital arrival have an operative mortality rate of approximately 41-50%. In contrast, patients undergoing elective repair have mortality rates of only 5-10%. Consequently, early recognition of silent aneurysms is fundamental to improving outcomes and underscores the potential value of bedside ultrasound.

Aortic Emergencies with George Willis

Back in late 2018 we gathered in Manchester for the inaugural #stemlynsLIVE conference. Our friend Dr George Willis gave a great talk on Aortic Emergencies. There are loads of great tips in here about diagnostics, medical management and how to manage the pericardial effusion. Personally I found this incredibly helpful and wished that I had heard it a few years ago as I, like many of you, have been humbled by aortic emergencies.

Aortic emergencies—diagnosis and treatment: a pictorial review

Diagnostic imaging is the key to the reliable diagnosis of acute aortic pathology with multi-slice computed tomography angiography (CTA) as the fastest and most robust modality. Endovascular aortic repair (EVAR) with stent grafts and open surgical repair are therapeutic approaches for aortic pathology.

Aortic Emergency: A Team Approach

One institution's experience in establishing a systematic, standardized, protocol-driven approach to management of ruptured abdominal aortic aneurysms.

Emergent Repair of Acute Thoracic Aortic Catastrophes

In the elective setting, thoracic endovascular aortic repair (TEVAR) has emerged as a feasible, less invasive alternative to open repair for degenerative aneurysms, penetrating ulcers, and intramural hematomas. In the emergency setting, TEVAR is particularly attractive because of the possibility to facilitate expedient control of life-threatening hemorrhage and provision of rapid restoration of end-organ perfusion while obviating the need for a thoracotomy, aortic cross-clamping, single-lung ventilation, and systemic anticoagulation.

Grand Rounds Recap 2.9.22

Discussion re AAA, AD and SVC syndrome.

The emergency medicine approach to abdominal vascular graft complications

The goal of this review is to perform a succinct, EM-focused review of the presentations and diagnoses of common complications of EVAR in the emergency department (ED).

Thoracic Aortic Emergencies: Presenting Pathologies and Treatment Strategies

The topic of thoracic aortic emergencies is composed of a wide variety of pathologies ranging from trauma to iatrogenic injuries. AASs and trauma are the most common presentations encountered by endovascular specialists and surgeons. Although surgical and, in some instances, medical managements are options, many pathologies are now treated via endovascular means with TEVAR being the most common treatment strategy. Aortic dissection patients presenting with malperfusion syndrome may be treated with TEVAR and/or aortic fenestration with improved patient outcomes. Interventional radiologists have the endovascular skills and knowledge required to treat these patients. Ideally, this is accomplished in a multidisciplinary fashion with our surgical and critical care colleagues to ensure the best outcomes for these critically ill patients.