On November 2, 2022, the American College of Cardiology (ACC) and American Heart Association (AHA) published an update to the 2010 ACC/AHA Guidelines for the Diagnosis and Management of Aortic Disease.
The top ten take-home messages are:
ALERT!
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Vascular Guidelines
July 1, 2022
This is an interesting, well-written account of pooled results of two medium-size RCTs . It would be interesting to see a third arm of optimum medical therapy in follow-up studies ...
March 30, 2022
Interesting case-control study on variations of aortovascular compliance
February 26, 2022
This newly released AHA scientific statement offers a comprehensive review of the latest imaging and measurement techniques for patients with chronic aortic dissection and clarifies the need for standardized measurements and reporting for lifelong surveillance.
February 16, 2022
A useful short review accompanied by media , related to the background of the ARISE Study. The esteemed authors discuss the potential endovascular options for zone 0 for inoperable Acute Aortic Syndromes.
January 14, 2022
A scholarly update on the previous (2016) guidelines, with an interesting Chapter 9 Gaps in evidence and future perspectives. The guidelines have been extensively reviewed by European and other experts. The authors insist on the only advisory value of their conclusions. Understandably, there is no mention of venous ECMO.
November 1, 2021
An extremely useful and free-access update on a major vascular entity. The 'Areas of Uncertainty' is a particularly useful chapter, discussing the available technology and its current supra-renal limitations and the emerging solutions.
August 14, 2021
Interesting multi-center RCT that paves the way for potential paradigm shifts in antithrombotic modulation. The abcence of symptomatic pulmonary embolism warrants further investigation...
January 16, 2021
A recent European consensus paper. Relatively easily read, and favouring meta-analyses over randomised trials. The bulk of the manuscript is of interest to all healthcare providers. The chapters 2.8.1 and 3.1.2 are of additional relevance to the ctsnet readership, as they summarise guidance on interventions.
December 20, 2020
A scholarly metanalytic review on training by surgical simulators. The authors submit that low-fidelity is acceptable, balancing affordable basic inanimate models against the higher cost (and ethics) of zootomy and cadaceric dissection.