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Canadian Cardiovascular Society/Canadian Society of Cardiac Surgeons/Canadian Society for Vascular Surgery Joint Position Statement on Open and Endovascular Surgery for Thoracic Aortic Disease

Abstract In 2014, the Canadian Cardiovascular Society (CCS) published a position statement on the management of thoracic aortic disease addressing size thresholds for surgery, imaging modalities, medical therapy, and genetics. It did not address issues related to surgical intervention. This joint Po...

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Published in:Canadian journal of cardiology 2016-06, Vol.32 (6), p.703-713
Main Authors: Appoo, Jehangir J., MDCM, Bozinovski, John, MD, Chu, Michael W.A., MD, El-Hamamsy, Ismail, MD, PhD, Forbes, Thomas L., MD, Moon, Michael, MD, Ouzounian, Maral, MD, PhD, Peterson, Mark D., MD, PhD, Tittley, Jacques, MD, Boodhwani, Munir, MD, MMSc
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container_end_page 713
container_issue 6
container_start_page 703
container_title Canadian journal of cardiology
container_volume 32
creator Appoo, Jehangir J., MDCM
Bozinovski, John, MD
Chu, Michael W.A., MD
El-Hamamsy, Ismail, MD, PhD
Forbes, Thomas L., MD
Moon, Michael, MD
Ouzounian, Maral, MD, PhD
Peterson, Mark D., MD, PhD
Tittley, Jacques, MD
Boodhwani, Munir, MD, MMSc
description Abstract In 2014, the Canadian Cardiovascular Society (CCS) published a position statement on the management of thoracic aortic disease addressing size thresholds for surgery, imaging modalities, medical therapy, and genetics. It did not address issues related to surgical intervention. This joint Position Statement on behalf of the CCS, Canadian Society of Cardiac Surgeons, and the Canadian Society for Vascular Surgery provides recommendations about thoracic aortic disease interventions, including: aortic valve repair, perfusion strategies for arch repair, extended arch hybrid reconstruction for acute type A dissection, endovascular management of arch and descending aortic aneurysms, and type B dissection. The position statement is constructed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, and has been approved by the primary panel, an international secondary panel, and the CCS Guidelines Committee. Advent of endovascular technology has improved aortic surgery safety and extended the indications of minimally invasive thoracic aortic surgery. The combination of safer open surgery with endovascular treatment has improved patient outcomes in this rapidly evolving subspecialty field of cardiovascular surgery.
doi_str_mv 10.1016/j.cjca.2015.12.037
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subjects Advisory Committees
Aorta, Thoracic - surgery
Aortic Diseases - surgery
Canada
Cardiovascular
Cardiovascular Diseases - surgery
Cardiovascular Surgical Procedures - methods
Endovascular Procedures - methods
Humans
Societies, Medical
Vascular Surgical Procedures - methods
title Canadian Cardiovascular Society/Canadian Society of Cardiac Surgeons/Canadian Society for Vascular Surgery Joint Position Statement on Open and Endovascular Surgery for Thoracic Aortic Disease
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