Multimodality imaging in thoracic aortic diseases: a clinical consensus statement from the European Association of Cardiovascular Imaging and the European Society of Cardiology working group on aorta and peripheral vascular diseases

Author:

Evangelista Artur1,Sitges Marta23ORCID,Jondeau Guillaume4ORCID,Nijveldt Robin5ORCID,Pepi Mauro6ORCID,Cuellar Hug78,Pontone Gianluca9ORCID,Bossone Eduardo10ORCID,Groenink Maarten11,Dweck Marc R12,Roos-Hesselink Jolien W1314,Mazzolai L15,van Kimmenade Roland16,Aboyans Victor17ORCID,Rodríguez-Palomares Jose1

Affiliation:

1. Servei de Cardiologia, Hospital Vall d’Hebron, CIBERCV, Universitat Autonoma de Barcelona, Vall d´Hebron Research Institute, VHIR , Barcelona, Spain

2. Cardiovascular Institute, Hospital Clinic, University of Barcelona , Villarroel 170, 08036 Barcelona , Spain

3. CIBERCV, Institut Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) , Villarroel 170, 08036 Barcelona, Spain

4. Reference Center for Marfan Syndrome and related diseases, Cardiology Department, VASCERN HTAD European Reference Centre, Hopital Bichat, APHP, INSERM U1148, Université de Paris , France

5. Department of Cardiology, Radboud University Nijmegen Medical Centre , Nijmegen , The Netherlands

6. Centro Cardiologico Monzino IRCCS , Via Carlo Parea 4, Milano , Italy

7. Radiology Department, Institut de Diagnòstic per la Imatge, Hospital Vall d’Hebron , Barcelona , Spain

8. Universitat Autònoma de Barcelona, Vall d´Hebron Research Institute (VHIR) , Barcelona, Spain

9. Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS , Milan , Italy

10. Cardiology Division, Antonio Cardarelli Hospital , Via Antonio Cardarelli 9, 80131, Naples , Italy

11. Department of Cardiology and Radiology, Amsterdam University Medical Center , Amsterdam , The Netherlands

12. BHF Centre for Cardiovascular Science, University of Edinburgh, Chancellors Building , Little France Crescent, Edinburgh EH16 4SB , UK

13. Cardiology Department, Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands

14. VASCERN HTAD European Reference Centre

15. Division of Angiology, Centre Hospitalier Universitaire Vaudois , Lausanne , Switzerland

16. Department of Cardiology, Radboud University Medical Center , Nijmegen , The Netherlands

17. Department of Cardiology, Dupuytren University Hospital, Inserm U1094 , Limoges , France

Abstract

Abstract Imaging techniques play a pivotal role in the diagnosis, follow-up, and management of aortic diseases. Multimodality imaging provides complementary and essential information for this evaluation. Echocardiography, computed tomography, cardiovascular magnetic resonance, and nuclear imaging each have strengths and limitations in the assessment of the aorta. This consensus document aims to review the contribution, methodology, and indications of each technique for an adequate management of patients with thoracic aortic diseases. The abdominal aorta will be addressed elsewhere. While this document is exclusively focused on imaging, it is of most importance to highlight that regular imaging follow-up in patients with a diseased aorta is also an opportunity to check the patient’s cardiovascular risk factors and particularly blood pressure control.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,General Medicine

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