Reed Pyeritz

“TIME IS LIFE”: EARLY MORTALITY IN TYPE A ACUTE AORTIC DISSECTION: INSIGHTS FROM THE IRAD REGISTRY

Based on 1950s data, the mortality rate for type A acute aortic dissection (AD) during the initial 24-hours was reported to be 1-2% per hour. In the contemporary era, limited data exist regarding initial 24-hour mortality and the impact of early surgical intervention. We reviewed duration of

PREDICTIVE FACTORS FOR RAPID AORTIC GROWTH FOLLOWING ACUTE TYPE A AORTIC DISSECTION PATIENTS: A STUDY FROM THE INTERNATIONAL REGISTRY OF ACUTE AORTIC DISSECTION

Background: Residual dissection after acute Type A aortic dissection (TAAAD) repair has an associated but not well defined risk for aneurysmal degeneration. The purpose of this study was to investigate potential risk factors and outcomes associated with rapid aortic growth in the residually

UNCONTROLLED HYPERTENSION IN ACUTE AORTIC DISSECTION FOLLOW-UP

Background: Hypertension (HTN) is one of the most common comorbidities associated with acute aortic dissection (AAD), and strict blood pressure control is a cornerstone of post-AAD therapy. This study seeks to identify factors associated with uncontrolled HTN in AAD follow-up and investigates

ONSET OF IN-HOSPITAL COMPLICATIONS IN ACUTE TYPE B AORTIC DISSECTIONS INITIALLY UNCOMPLICATED

It is unknown what the incidence is of in-hospital complications in patients presenting with initially uncomplicated acute type B aortic dissection (ABAD) and what predicts such clinical evolution. Our aim was to identify the incidence and predictors of development of in-hospital complications in

AORTIC SIZE INDICES: A MORE COMPREHENSIVE EVALUATION OF AORTIC RISK

Aortic size is the determining factor for prophylactic intervention on diseased aortas. However, recent studies have shown that dissecting aortas are often sized well below the diameters defined by surgical guidelines. Whether or not adjusting aortic diameters for body size will better categorize

DEBAKEY TYPES I AND II ARE DISTINCT SUBSETS WITHIN TYPE A DISSECTION: A REPORT FROM THE INTERNATIONAL REGISTRY OF ACUTE AORTIC DISSECTION

The DeBakey classification divides Type A acute aortic dissection (AAD) into Type I and Type II; the latter limited to the ascending aorta. Differences between the groups are not known. We divided 1734 Type A patients from the International Registry of Acute Aortic Dissection into Type I (N=1570,

MORTALITY AND OUTCOMES OF PATIENTS PRESENTING WITH AND WITHOUT IATROGENIC AORTIC DISSECTIONS

Results: There were significant differences in history and presentation between iAD and sAD pts when stratified by dissection type (see table). Complication rates for TA iAD pts were higher than for sAD pts pre-operatively for myocardial ischemia (27.9% v. 8.8%, p<0.001) and myocardial infarction (16.7% v. 4.3%, p<0.001). sAD patietns were managed similarly to iAD with respect to medical, surgical or endovascular therapy, with similar mortality between treatment groups. In contrast, postoperative rates of stroke (17.2% v. 9.5%, p=0.053) or limb ischemia (9.5% v. 3.5%, p=0.013) were significantly higher after iAD than sAD.