naa a22 4500 510747159 CHVBK 20180411083050.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11547-012-0815-9 doi (NATIONALLICENCE)springer-10.1007/s11547-012-0815-9 Aortic dissection and malperfusion syndrome: a when, what and how-to guide [Elektronische Daten] [M. Midulla, R. Fattori, J. Beregi, M. Dake, H. Rousseau] Dissezione aortica e sindrome da malperfusione: quando intervenire, cosa e come fare Malperfusion syndrome is a complication of aortic dissection caused by branch-vessel involvement and resulting in end-organ ischaemic dysfunction. Clinical diagnosis is mandatory, and imaging plays a critical role in confirmation and treatment planning. Radiologists must focus on detecting complications (findings of aortic dilation, rupture, organ ischaemia, etc.) and defining vascular compromise and associated malperfusion mechanisms. All these factors guide the multidisciplinary discussion concerning patient management and the suitability of endovascular treatment. Application of dedicated imaging protocols is mandatory in order to answer clinical and anatomical questions. Endovascular therapy has taken a predominant role in the therapeutic management of malperfusion syndrome with aortic fenestration, peripheral stenting and stent-grafting, all of which are procedures within the domain of expertise of current interventional radiologists. The purpose of this editorial is to present a when, what and how-to guide for all radiologists who encounter complicated aortic dissection. Springer-Verlag Italia, 2012 Aortic dissection nationallicence Malperfusion nationallicence Stent-graft nationallicence Fenestration nationallicence Dissezione aortica nationallicence Malperfusione nationallicence Stentgraft nationallicence Fenestrazione nationallicence Midulla M. Unité Interventionnelle Vasculaire, Service de Radiologie Cardiovasculaire, Hopital Cardiologique, Centre Hospitalier Regional Universitaire de Lille, Blv. du Pr Leclerq, 59037, Lille, France aut Fattori R. UC Cardiologia Interventistica, Ospedale San Salvatore, Pesaro, Italy aut Beregi J. Département de Radiologie, CHU Caremeau, 30029, Nîmes Cedex 9, France aut Dake M. Department of Cardiothoracic Surgery, Falk Cardiovascular Research Center, 300 Pasteur Drive, 94305-5407, Stanford, CA, USA aut Rousseau H. Hopital Rangueil, 1 Av Jean-Poulhes, 31059, Toulouse, France aut La radiologia medica Springer Milan 118/1(2013-02-01), 74-88 0033-8362 118:1<74 2013 118 11547 https://doi.org/10.1007/s11547-012-0815-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-012-0815-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Midulla M. Unité Interventionnelle Vasculaire, Service de Radiologie Cardiovasculaire, Hopital Cardiologique, Centre Hospitalier Regional Universitaire de Lille, Blv. du Pr Leclerq, 59037, Lille, France aut NATIONALLICENCE 700 1- Fattori R. UC Cardiologia Interventistica, Ospedale San Salvatore, Pesaro, Italy aut NATIONALLICENCE 700 1- Beregi J. Département de Radiologie, CHU Caremeau, 30029, Nîmes Cedex 9, France aut NATIONALLICENCE 700 1- Dake M. Department of Cardiothoracic Surgery, Falk Cardiovascular Research Center, 300 Pasteur Drive, 94305-5407, Stanford, CA, USA aut NATIONALLICENCE 700 1- Rousseau H. Hopital Rangueil, 1 Av Jean-Poulhes, 31059, Toulouse, France aut NATIONALLICENCE 773 0- La radiologia medica Springer Milan 118/1(2013-02-01), 74-88 0033-8362 118:1<74 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer