Document Assessment
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Outcomes and Complications:
irty-day/in-hospital mortality:
• All deaths occurring within 30 days of symptom onset, 30 days of the index
procedure, or during the index hospitalization should be referred to as early
dissection-related death.
• Determination of the mode of death including :
▶ Autopsy
▶ Operative or radiographic findings consistent with aorta- or non-aorta- related
death
Stroke and major adverse cardiovascular events:
• Stroke is defined as a focal or global neurologic deficit lasting for >24 hours.
▶ Use the modified Rankin scale (Table V) to document stroke severity.
• Other major adverse cardiovascular events occurring within 30 days of dissection
onset in the case of medical management or 30 days of surgical intervention
Imaging for stroke:
• Evidence of new cerebral infarct or hemorrhage on CT or MRI
• Ischemic vs. hemorrhagic
• Embolic or watershed etiolog y
• Involved arterial distribution
Acute kidney injury:
• Decline in kidney function
• The need for dialysis
▶ temporary in-house only, present at discharge, or permanent on follow-up
The Acute Kidney Injury Network (AKIN) grading system is recommended.
Spinal cord ischemia (SCI):
• Spinal cord perfusion pressure (SCPP)
• Time at onset
• Improvement
The modified Tarlov scoring system (Table VI) is recommended
Bowel ischemia:
• Mesenteric ischemia or ischemic colitis
• Severity
• Required intervention
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