{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:06:37Z","timestamp":1777417597719,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T00:00:00Z","timestamp":1693872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To analyze the clinical values of echocardiography combined with vascular ultrasound in the diagnosis of aortic dissection according to the DeBakey classification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The clinical data of 77 patients with aortic dissection admitted to our hospital from August 2016 to January 2022 were retrospectively analyzed. All patients were examined with ultrasound and CT angiography (CTA), the consistency between ultrasound and CTA\u2009\u00b1\u2009intraoperative diagnosis for the classification of AD was checked, as well as the differences in ultrasound signs and Ultrasound parameters between different types of AD were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results of <jats:italic>Kappa<\/jats:italic> value: There was a high level of agreement between echocardiography combined with transabdominal vascular ultrasound and CTA\u2009\u00b1\u2009intraoperative diagnosis for the classification of AD (<jats:italic>Kappa<\/jats:italic>\u2009=\u20090.897, <jats:italic>p<\/jats:italic>\u2009=\u20090.000). In the ultrasound signs, the proportion of pericardial effusion, aortic regurgitation, aortic widening, and coronary artery involvement in type DeBakey I and II aortic dissection was significantly higher than that in Type III. There was no significant difference in the proportion of intimal floating, true and false lumen, and intimal rupture in Types I, II, and III aortic dissections. In the comparison of ultrasound parameters, there is a statistically significant difference in the values of LAD (left atrial diameter), LAV (left atrial volume), and LVEDD (left ventricular end\u2010diastolic diameter) among different types of aortic dissection. There is no significant difference in IVS (interventricular septum thickness), LVPW (left ventricular posterior wall thickness), LVEF (left ventricular ejection fraction), and E\/e\u2032 ratio among different types of aortic dissection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Echocardiography combined with transabdominal vascular ultrasound can accurately evaluate aortic dissection with real\u2010time dynamic images and provide important clinical significance for early individualized treatment of patients through accurate classification of different aortic dissection.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.23536","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T07:03:56Z","timestamp":1693897436000},"page":"1312-1317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The clinical value of echocardiography combined with transabdominal vascular ultrasound in the diagnosis of different types of aortic dissection"],"prefix":"10.1002","volume":"51","author":[{"given":"Weihua","family":"Zhong","sequence":"first","affiliation":[{"name":"Department of Ultrasound Diagnostics The Affiliated Tengzhou Central People Hospital of Jining Medical College  Tengzhou Shandong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9434-1600","authenticated-orcid":false,"given":"Kejun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics The Affiliated Tengzhou Central People Hospital of Jining Medical College  Tengzhou Shandong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics The Affiliated Tengzhou Central People Hospital of Jining Medical College  Tengzhou Shandong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics The Affiliated Tengzhou Central People Hospital of Jining Medical College  Tengzhou Shandong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shouhong","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Diagnostics The Affiliated Tengzhou Central People Hospital of Jining Medical College  Tengzhou Shandong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuzhi","family":"Yao","sequence":"additional","affiliation":[{"name":"Medical Imaging Department The Affiliated Tengzhou Central People Hospital of Jining Medical College  Tengzhou Shandong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.117.5.1271"},{"issue":"5","key":"e_1_2_9_3_1","first-page":"1271","article-title":"Chinese experts' consensus of standardized diagnosis and treatment for aortic dissection","volume":"117","author":"The Committee of Great Vessels of Chinese Association of Cardiovascular Surgeons","year":"2000","journal-title":"Chin J Thorac Cardiovasc Surg"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TME.0b013e31827145d0"},{"issue":"14","key":"e_1_2_9_5_1","first-page":"95","article-title":"Acute aortic syndrome: a new look at an old conundrum","volume":"86","author":"Vilacosta I","year":"2009","journal-title":"Heart"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4065\/79.2.176"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.11.014"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"issue":"41","key":"e_1_2_9_9_1","first-page":"1169","article-title":"ESC guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. 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