Evidence map›Paper›PMID 38133078›Full record

ArticleTomography (Ann Arbor, Mich.)2023

Non-A Non-B Acute Aortic Dissection: Is There Some Confusion in the Radiologist's Mind?

Tullio Valente, Giacomo Sica, Federica Romano, Gaetano Rea, Roberta Lieto, Marisa De Feo, Alessandro Della Corte, Salvatore Guarino, Candida Massimo, Mariano Scaglione and 2 more

Open access · goldAbstract read
In one paragraph

Article in Tomography (Ann Arbor, Mich.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Tullio ValenteGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-8799-0398
Giacomo SicaGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-9518-9744
Federica RomanoGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0003-0685-0201
Gaetano ReaGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-5846-7872
Roberta LietoGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.
Marisa De FeoDepartment of Translational Medical Sciences, Vanvitelli University, Monaldi Hospital, 80131 Naples, Italy.
Alessandro Della CorteDepartment of Translational Medical Sciences, Vanvitelli University, Monaldi Hospital, 80131 Naples, Italy.
Salvatore GuarinoGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0003-3978-2567
Candida MassimoGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-5879-9658
Mariano ScaglioneDepartment of Medicine, Surgery and Pharmacy, University of Sassary, 07100 Sassari, Italy.ORCID 0000-0002-0910-8064
Emanuele MutoGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.
Giorgio BocchiniGeneral Radiology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.ORCID 0000-0002-7164-3754
Ospedale Monaldi · ITUniversity of Sassari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to define and determine the rate of acute non-A-non-B aortic dissections, and to evaluate CT angiography findings and possible complications, as well as to discuss management strategies and currently available therapy. Non-A non-B type of aortic dissection is still a grey area in the radiologist's mind, such that it is not entirely clear what should be reported and completed in terms of this disease.

methodsA retrospective single-center study including 36 pre-treatment CT angiograms of consecutive patients (mean age: 61 years) between January 2012 and December 2022 with aortic dissection involving the aortic arch with/without the thoracic descending/abdominal aorta (type non-A non-B).

resultsAccording to the dissection anatomy, we identified three modalities of spontaneous acute non-A-non-B anatomical configurations. Configuration 1 (

conclusionsAcute non-A non-B dissection represents an infrequent occurrence of aortic arch dissection (with or without involvement of the descending aorta) that does not extend to the ascending aorta. The complete understanding of its natural progression, distinct CT angiography subtypes, optimal management, and treatment strategies remains incomplete. Within our series, patients frequently exhibit a complex clinical course, often necessitating a more assertive approach to treatment compared to type B dissections.

Indexed as

Aortic DissectionAorta, ThoracicHumansMiddle AgedRadiologistsRetrospective Studiesacute aortic diseasecomputed tomography angiographymanagementnon-A non-B aortic dissectionTEVAR

Identifiers

PMID38133078
PMCPMC10746994
OpenAlexW4389920322

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.