Division of Vascular and Endovascular Surgery, Mayo Clinic, 200 2(nd) Street SW, Rochester, MN 55902.
Department of Surgery, Mayo Clinic, Jacksonville, FL.
Semin Vasc Surg. 2021 Mar;34(1):10-17. doi: 10.1053/j.semvascsurg.2021.02.003. Epub 2021 Feb 5.
Aortic dissection remains a highly morbid diagnosis. The treatment of aortic dissection has undergone several paradigm shifts since it was first understood. However, despite the robust research in treatment, the epidemiology of aortic dissection is limited. In this review, we discuss the historical perspectives of aortic dissection with a review of risk factors and presentation. We review the trends in incidence during the past 40 years, with consideration for sex, race, and ethnicity in admission. We further focus our discussion of the classically described Type B aortic dissection treatment. Lastly, we review the impact of long-term events, readmissions, cost assessments, and quality of life studies of patients with aortic dissection. Care for those with aortic dissection remains a long-term challenge for providers and a multispecialty approach is needed for complete patient management.
主动脉夹层仍然是一种高度致命的诊断。自首次被认识以来，主动脉夹层的治疗已经经历了几次范式转变。然而，尽管在治疗方面进行了大量研究，主动脉夹层的流行病学仍然有限。在这篇综述中，我们讨论了主动脉夹层的历史观点，并回顾了其危险因素和表现。我们回顾了过去 40 年期间发病率的趋势，并考虑了入院时的性别、种族和民族因素。我们进一步将讨论集中在经典描述的 B 型主动脉夹层治疗上。最后，我们回顾了主动脉夹层患者的长期事件、再入院、成本评估和生活质量研究的影响。为主动脉夹层患者提供护理仍然是提供者面临的长期挑战，需要多学科方法来进行全面的患者管理。
