Follow-up paradigms for stable aortic dissection.
While limited data exist on which follow-up paradigms for chronic aortic dissections can be based, what information is present suggests that long-term follow-up is mandatory. In spite of the treatment modality, deaths from aortic disease continue to accrue and repeat interventions are often required over long-term follow-up. The only prospective trial data available indicate a roughly equal incidence of secondary interventions during the first and second year. Recent studies with longer follow-up suggest that the likelihood of a need for intervention ultimately diminishes. With increasing time after presentation, it may be possible to decrease the frequency of follow-up interrogations. Definitive recommendations in this regard, however, must await the availability of longer-term data.
Mastracci
T M
TM
Department of Vascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA. mastrat@ccf.org
Greenberg
R K
RK
D000208:Acute Disease; D000784:Aortic Dissection / Q000401:mortality / Q000601:surgery*; D001014:Aortic Aneurysm / Q000401:mortality / Q000601:surgery*; D002908:Chronic Disease; D019317:Evidence-Based Medicine; D006801:Humans; D012086:Reoperation; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000401:mortality