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Dissection, Blood Vessel

MedGen UID:
906242
Concept ID:
C4277533
Pathologic Function
Synonym: Blood Vessel Dissection

Definition

A tear or separation of the layers by a blood vessel typically involving vessels under pressure, i.e., ARTERIES, e.g., AORTA. Tearing of the TUNICA INTIMA layer of a blood vessel may lead to interstitial HEMORRHAGE. Dissection between the tunica intima and TUNICA MEDIA causes luminal occlusion. Dissection at the media, or between the media and the outer ADVENTITIA causes aneurismal dilation. [from MeSH]

Professional guidelines

PubMed

Bowen JM, Hernandez M, Johnson DS, Green C, Kammin T, Baker D, Keigwin S, Makino S, Taylor N, Watson O, Wheeldon NM, Sobey GJ
Eur J Hum Genet 2023 Jul;31(7):749-760. Epub 2023 Mar 29 doi: 10.1038/s41431-023-01343-7. PMID: 36977837Free PMC Article
Kang SH, Park HS, Yoon CJ, Shin CS, Yoo KC, Lee T
Eur J Vasc Endovasc Surg 2020 Feb;59(2):247-253. Epub 2019 Dec 5 doi: 10.1016/j.ejvs.2019.09.510. PMID: 31813666

Recent clinical studies

Etiology

Amoukhteh M, Hassankhani A, Valizadeh P, Jannatdoust P, Ghozy S, Kobeissi H, Kallmes DF
J Neurointerv Surg 2024 Sep 17;16(10):1005-1012. doi: 10.1136/jnis-2023-021117. PMID: 38212103
Damara FA, Alameddine D, Slade M, Cardella J, Tonnessen B, Guzman RJ, Ochoa Chaar CI
J Vasc Surg 2024 Feb;79(2):339-347.e6. Epub 2023 Oct 12 doi: 10.1016/j.jvs.2023.10.004. PMID: 37838217
Fujiwara G, Oka H, Fujii A
J Stroke Cerebrovasc Dis 2023 Aug;32(8):107212. Epub 2023 Jun 16 doi: 10.1016/j.jstrokecerebrovasdis.2023.107212. PMID: 37331251
Tritanon O, Mataeng S, Apirakkan M, Panyaping T
Neuroradiology 2023 Mar;65(3):441-451. Epub 2022 Dec 2 doi: 10.1007/s00234-022-03093-7. PMID: 36456894Free PMC Article
Wadhwa A, Almekhlafi M, Menon BK, Demchuk AM, Bal S
Can J Neurol Sci 2023 May;50(3):393-398. Epub 2022 Apr 11 doi: 10.1017/cjn.2022.40. PMID: 35403591

Diagnosis

Tritanon O, Mataeng S, Apirakkan M, Panyaping T
Neuroradiology 2023 Mar;65(3):441-451. Epub 2022 Dec 2 doi: 10.1007/s00234-022-03093-7. PMID: 36456894Free PMC Article
Wadhwa A, Almekhlafi M, Menon BK, Demchuk AM, Bal S
Can J Neurol Sci 2023 May;50(3):393-398. Epub 2022 Apr 11 doi: 10.1017/cjn.2022.40. PMID: 35403591
Jay CRG, Duncan AN, Ellika SK, Bender MT
J Neurointerv Surg 2023 Mar;15(3):e3. Epub 2021 Jun 8 doi: 10.1136/neurintsurg-2021-017464.rep. PMID: 34103356
Meltzer AZ, Fintha A, Cseprekál O, Somogyi D, Szabó J, Kóbori L, Rózsa B, Piros L, Huszty G
Transplant Proc 2022 Nov;54(9):2603-2607. Epub 2022 Nov 16 doi: 10.1016/j.transproceed.2022.10.049. PMID: 36400588
Fujiyoshi T, Miyahara R, Funasaka K, Furukawa K, Sawada T, Maeda K, Yamamura T, Ishikawa T, Ohno E, Nakamura M, Kawashima H, Nakaguro M, Nakatochi M, Hirooka Y
World J Gastroenterol 2019 Mar 14;25(10):1248-1258. doi: 10.3748/wjg.v25.i10.1248. PMID: 30886507Free PMC Article

Therapy

Pollock NW, Lippmann J, Pearn J, Hayman J
Diving Hyperb Med 2024 Sep 30;54(3):188-195. doi: 10.28920/dhm54.3.188-195. PMID: 39288923
Zhang B, Shen Y, Jin L, Wang J
Langenbecks Arch Surg 2024 Jul 15;409(1):215. doi: 10.1007/s00423-024-03406-9. PMID: 39008150
Amoukhteh M, Hassankhani A, Valizadeh P, Jannatdoust P, Ghozy S, Kobeissi H, Kallmes DF
J Neurointerv Surg 2024 Sep 17;16(10):1005-1012. doi: 10.1136/jnis-2023-021117. PMID: 38212103
Damara FA, Alameddine D, Slade M, Cardella J, Tonnessen B, Guzman RJ, Ochoa Chaar CI
J Vasc Surg 2024 Feb;79(2):339-347.e6. Epub 2023 Oct 12 doi: 10.1016/j.jvs.2023.10.004. PMID: 37838217
Meltzer AZ, Fintha A, Cseprekál O, Somogyi D, Szabó J, Kóbori L, Rózsa B, Piros L, Huszty G
Transplant Proc 2022 Nov;54(9):2603-2607. Epub 2022 Nov 16 doi: 10.1016/j.transproceed.2022.10.049. PMID: 36400588

Prognosis

Uzun HG, Özgen İ
Arq Bras Cardiol 2024 Jun;121(6):e20230749. doi: 10.36660/abc.20230749. PMID: 39016413
Fujiwara G, Oka H, Fujii A
J Stroke Cerebrovasc Dis 2023 Aug;32(8):107212. Epub 2023 Jun 16 doi: 10.1016/j.jstrokecerebrovasdis.2023.107212. PMID: 37331251
Ye K, Wang Y, Wan S
Cardiovasc J Afr 2023 Nov-Dec 23;34(5):318-320. Epub 2023 Mar 10 doi: 10.5830/CVJA-2022-066. PMID: 36947166Free PMC Article
Wadhwa A, Almekhlafi M, Menon BK, Demchuk AM, Bal S
Can J Neurol Sci 2023 May;50(3):393-398. Epub 2022 Apr 11 doi: 10.1017/cjn.2022.40. PMID: 35403591

Clinical prediction guides

Zhang B, Shen Y, Jin L, Wang J
Langenbecks Arch Surg 2024 Jul 15;409(1):215. doi: 10.1007/s00423-024-03406-9. PMID: 39008150
Amoukhteh M, Hassankhani A, Valizadeh P, Jannatdoust P, Ghozy S, Kobeissi H, Kallmes DF
J Neurointerv Surg 2024 Sep 17;16(10):1005-1012. doi: 10.1136/jnis-2023-021117. PMID: 38212103
Soleimani M, Deo R, Hudobivnik B, Poyanmehr R, Haverich A, Wriggers P
Biomech Model Mechanobiol 2023 Dec;22(6):2097-2116. Epub 2023 Aug 8 doi: 10.1007/s10237-023-01753-y. PMID: 37552344Free PMC Article
Wadhwa A, Almekhlafi M, Menon BK, Demchuk AM, Bal S
Can J Neurol Sci 2023 May;50(3):393-398. Epub 2022 Apr 11 doi: 10.1017/cjn.2022.40. PMID: 35403591
Thomas LC, Seth T, Der A, Ho K, Eide L, Roenaas S, Treleaven J
Physiother Theory Pract 2023 Jun;39(6):1297-1304. Epub 2022 Jan 31 doi: 10.1080/09593985.2022.2035033. PMID: 35100949

Recent systematic reviews

Zhang B, Shen Y, Jin L, Wang J
Langenbecks Arch Surg 2024 Jul 15;409(1):215. doi: 10.1007/s00423-024-03406-9. PMID: 39008150
Amoukhteh M, Hassankhani A, Valizadeh P, Jannatdoust P, Ghozy S, Kobeissi H, Kallmes DF
J Neurointerv Surg 2024 Sep 17;16(10):1005-1012. doi: 10.1136/jnis-2023-021117. PMID: 38212103
Abraham B, Mathew SD, Sridharan K
Curr Cardiol Rev 2023;19(1):e280622206435. doi: 10.2174/1573403X18666220628093303. PMID: 35762547Free PMC Article

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