Evidence map›Paper›PMID 38592069›Full record

ReviewJournal of clinical medicine2024

Acute Aortic Syndromes from Diagnosis to Treatment-A Comprehensive Review.

Cosmin M Banceu, Diana M Banceu, David S Kauvar, Adrian Popentiu, Vladimir Voth, Markus Liebrich, Marius Halic Neamtu, Marvin Oprean, Daiana Cristutiu, Marius Harpa and 2 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. CT angiography of acute aortic syndrome in patients with chronic kidney disease.The international journal of cardiovascular imaging · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Shaggy aorta: ideal substrate for disaster. Updated review.Archivos peruanos de cardiologia y cirugia cardiovascular
    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.

Cosmin M BanceuI.O.S.U.D., George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540139 Targu Mures, Romania.ORCID 0000-0002-4415-4357
Diana M BanceuEmergency Institute for Cardiovascular Diseases and Transplantation Targu Mures, 540136 Targu Mures, Romania.
David S KauvarDepartment of Surgery, Division of Vascular Surgery, Stanford University School of Medicine, Palo Alto, CA 94305, USA.
Adrian PopentiuFaculty of Medicine, University Lucian Blaga Sibiu, 550169 Sibiu, Romania.ORCID 0009-0009-3559-9547
Vladimir VothSana Cardiac Surgery, 70174 Stuttgart, Germany.
Markus LiebrichSana Cardiac Surgery, 70174 Stuttgart, Germany.
Marius Halic NeamtuSwiss Federal Institute of Forest, Snow and Landscape Research WSL, 8903 Birmensdorf, Switzerland.
Marvin OpreanMathematics and Statistics Department, Amherst College, Amherst, MA 01002, USA.
Daiana CristutiuEmergency Institute for Cardiovascular Diseases and Transplantation Targu Mures, 540136 Targu Mures, Romania.
Marius HarpaI.O.S.U.D., George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540139 Targu Mures, Romania.
Klara BrinzaniucI.O.S.U.D., George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540139 Targu Mures, Romania.
Horatiu SuciuI.O.S.U.D., George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540139 Targu Mures, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This work aims to provide a comprehensive description of the characteristics of a group of acute aortic diseases that are all potentially life-threatening and are collectively referred to as acute aortic syndromes (AASs). There have been recent developments in the care and diagnostic plan for AAS. A substantial clinical index of suspicion is required to identify AASs before irreversible fatal consequences arise because of their indefinite symptoms and physical indicators. A methodical approach to the diagnosis of AAS is addressed. Timely and suitable therapy should be started immediately after diagnosis. Improving clinical outcomes requires centralising patients with AAS in high-volume centres with high-volume surgeons. Consequently, the management of these patients benefits from the increased use of aortic centres, multidisciplinary teams and an "aorta code". Each acute aortic entity requires a different patient treatment strategy; these are outlined below. Finally, numerous preventive strategies for AAS are discussed. The keys to good results are early diagnosis, understanding the natural history of these disorders and, where necessary, prompt surgical intervention. It is important to keep in mind that chest pain does not necessarily correspond with coronary heart disease and to be alert to the possible existence of aortic diseases because once antiplatelet drugs are administered, a blocked coagulation system can complicate aortic surgery and affect prognosis. The management of AAS in "aortic centres" improves long-term outcomes and decreases mortality rates.

Indexed as

acute aortic dissectionacute aortic syndromeaortic centresaortic surgeryintramural hematomapenetrating atherosclerotic ulcerStanford AStanford BStanford non-A non-Btraumatic aortic injury

Identifiers

PMID38592069
PMCPMC10932437

What OpenQuestion holds

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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.