{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:04:26Z","timestamp":1784300666789,"version":"3.55.0"},"reference-count":41,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Vascular Surgery"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1053\/j.semvascsurg.2026.02.005","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T16:25:36Z","timestamp":1772209536000},"page":"124-134","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Should Type B intramural hematoma be treated like Type B aortic dissection? A narrative review"],"prefix":"10.1053","volume":"39","author":[{"given":"Ryan","family":"Mancoll","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Narula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nolan C.","family":"Cirillo-Penn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Animesh","family":"Rathore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3182-119X","authenticated-orcid":false,"given":"Firas F.","family":"Mussa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0001","doi-asserted-by":"crossref","first-page":"e223","DOI":"10.1016\/j.jacc.2022.08.004","article-title":"2022 ACC\/AHA guideline for the diagnosis and management of aortic disease","volume":"80","author":"Isselbacher","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0002","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1001\/jama.2016.10026","article-title":"Acute aortic dissection and intramural hematoma: a systematic review","volume":"316","author":"Mussa","year":"2016","journal-title":"JAMA"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0003","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/S0140-6736(22)01970-5","article-title":"Acute aortic dissection","volume":"401","author":"Carrel","year":"2023","journal-title":"Lancet"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0004","doi-asserted-by":"crossref","first-page":"2727","DOI":"10.1093\/eurheartj\/ehz153","article-title":"Differential clinical features and long-term prognosis of acute aortic syndrome according to disease entity","volume":"40","author":"Ahn","year":"2019","journal-title":"Eur Heart J"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0005","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1161\/01.CIR.0000156444.26393.80","article-title":"acute intramural hematoma of the aorta: a mystery in evolution","volume":"111","author":"Evangelista","year":"2005","journal-title":"Circulation"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0006","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1016\/j.jvs.2013.05.099","article-title":"The differences and similarities between intramural hematoma of the descending aorta and acute type B dissection","volume":"58","author":"Tolenaar","year":"2013","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0007","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1016\/j.jvs.2024.04.069","article-title":"Natural history and long-term outcomes of medically managed Type B intramural hematoma","volume":"80","author":"Vaddavalli","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0008","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jvs.2011.08.005","article-title":"Presentation, complications, and natural history of penetrating atherosclerotic ulcer disease","volume":"55","author":"Nathan","year":"2012","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0009","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1148\/radiol.2021204385","article-title":"Focal intimal disruption size at multidetector CT and disease progression in Type B aortic intramural hematoma","volume":"301","author":"Ishizu","year":"2021","journal-title":"Radiology"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0010","doi-asserted-by":"crossref","first-page":"ezad426","DOI":"10.1093\/ejcts\/ezad426","article-title":"EACTS\/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ","volume":"65","author":"Czerny","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0011","doi-asserted-by":"crossref","first-page":"2519","DOI":"10.1161\/CIRCULATIONAHA.109.886408","article-title":"Randomized comparison of strategies for type B aortic dissection: the INvestigation of STEnt Grafts in Aortic Dissection (INSTEAD) trial","volume":"120","author":"Nienaber","year":"2009","journal-title":"Circulation"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0012","doi-asserted-by":"crossref","first-page":"ezac160","DOI":"10.1093\/ejcts\/ezac160","article-title":"Volumetric assessment is superior to axial measurements in estimating the outcome of patients with acute uncomplicated type B aortic intramural haematoma","volume":"62","author":"Chen","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0013","doi-asserted-by":"crossref","first-page":"e266","DOI":"10.1161\/CIR.0b013e3181d47d48","volume":"121","author":"Hiratzka","year":"2010","journal-title":"Circulation"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0014","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.echo.2014.11.015","volume":"28","author":"Goldstein","year":"2015","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0015","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1161\/01.CIR.0000081776.49923.5A","article-title":"Long-term follow-up of aortic intramural hematoma: predictors of outcome","volume":"108","author":"Evangelista","year":"2003","journal-title":"Circulation"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0016","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1016\/j.jvs.2023.06.107","article-title":"Outcomes of symptomatic penetrating aortic ulcer and intramural hematoma in the endovascular era","volume":"78","author":"Bellomo","year":"2023","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0017","article-title":"International Expert Consensus on the Management of Acute Aortic Type B Intramural Haematoma and Penetrating Ulcer","volume":"30","author":"Squizzato","year":"2025","journal-title":"Eur J Vasc Endovasc Surg Published online September"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0018","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/j.jvs.2021.08.080","article-title":"A systematic review and meta-analysis of the incidence of acute aortic dissections in population-based studies","volume":"75","author":"Gouveia E Melo","year":"2022","journal-title":"J Vasc Surg"},{"issue":"suppl 1","key":"10.1053\/j.semvascsurg.2026.02.005_bib0019","first-page":"II307","article-title":"Long-term prognosis of patients with type B aortic intramural hematoma","volume":"108","author":"Kaji","year":"2003","journal-title":"Circulation"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0020","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.ejvs.2014.05.012","article-title":"Endovascular repair of acute uncomplicated aortic type B dissection promotes aortic remodelling: 1 year results of the ADSORB trial","volume":"48","author":"Brunkwall","year":"2014","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0021","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/j.jvs.2023.10.044","article-title":"A single-center experience of type B aortic intramural hematoma","volume":"79","author":"Hu","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0022","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-021-91151-0","article-title":"Comparative study on clinical efficacy of different methods for the treatment of intramural aortic hematoma","volume":"11","author":"Luo","year":"2021","journal-title":"Sci Rep"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0023","doi-asserted-by":"crossref","first-page":"1872","DOI":"10.1016\/j.jvs.2021.12.077","article-title":"Intramural hematoma of the thoracic aorta: a single-institution, 12-year experience","volume":"75","author":"Abdu","year":"2022","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0024","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.ejvs.2023.12.024","article-title":"Five year results of endovascular versus medical therapy in acute Type B aortic intramural haematoma: meta-analysis of reconstructed time to event data","volume":"67","author":"S\u00e1","year":"2024","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0025","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.athoracsur.2021.11.002","article-title":"The Society of Thoracic Surgeons\/American Association for Thoracic Surgery Clinical Practice Guidelines on the Management of Type B Aortic Dissection","volume":"113","author":"MacGillivray","year":"2022","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0026","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1056\/NEJMra2405257","article-title":"Management of acute Type B aortic dissection","volume":"393","author":"Mussa","year":"2025","journal-title":"N Engl J Med"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0027","doi-asserted-by":"crossref","first-page":"S208","DOI":"10.1016\/j.jtcvs.2012.11.048","article-title":"Importance of false lumen thrombosis in type B aortic dissection prognosis","volume":"145","author":"Trimarchi","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0028","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/j.jcin.2013.05.003","article-title":"Survival after endovascular therapy in patients with type B aortic dissection: a report from the International Registry of Acute Aortic Dissection (IRAD)","volume":"6","author":"Fattori","year":"2013","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0029","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.ejvs.2025.04.023","article-title":"Outcomes of high risk and complicated Type B aortic dissections treated with thoracic endovascular aortic repair","volume":"70","author":"Filiberto","year":"2025","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0030","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1016\/j.jvs.2024.05.055","article-title":"Five-year outcomes of endovascular treatment for aortic dissection from the Global Registry for Endovascular Aortic Treatment","volume":"80","author":"Payne","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0031","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.ejvs.2021.09.045","article-title":"Endovascular repair of complicated type b aortic intramural haematoma: a single centre long term experience","volume":"63","author":"Tolboom","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0032","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1055\/s-0030-1270761","article-title":"Early aggressive medical treatment associated with selective prophylactic aortic stent-grafting for aortic intramural hematoma","volume":"59","author":"Zhang","year":"2011","journal-title":"Thorac Cardiovasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0033","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.jvs.2025.08.004","article-title":"The association of repair timing on outcomes following thoracic endovascular aortic repair for intramural hematoma","volume":"83","author":"Manchella","year":"2026","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0034","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/j.jvs.2019.11.013","article-title":"Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections","volume":"71","author":"Lombardi","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0035","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.jvs.2021.08.059","article-title":"Impact of thoracic endovascular aortic repair timing on aortic remodeling in acute type B aortic intramural hematoma","volume":"75","author":"Mesar","year":"2022","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0036","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jvs.2017.05.128","article-title":"Predictors of late aortic intervention in patients with medically treated type B aortic dissection","volume":"67","author":"Schwartz","year":"2018","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0037","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1016\/j.jvs.2019.07.084","article-title":"Medical therapy in type B aortic intramural hematoma is associated with a high failure rate","volume":"71","author":"Mesar","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0038","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1186\/s12872-025-04478-1","article-title":"Comparisons of open surgical repair, thoracic endovascular aortic repair, and optimal medical therapy for acute and subacute type B aortic dissection: a systematic review and meta-analysis","volume":"25","author":"Liu","year":"2025","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0039","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.jvs.2022.03.030","article-title":"Impact of high-risk features and timing of repair for acute type B aortic dissections","volume":"76","author":"Potter","year":"2022","journal-title":"J Vasc Surg"},{"issue":"3","key":"10.1053\/j.semvascsurg.2026.02.005_bib0040","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1111\/jocs.14431","article-title":"The evolution of treatments for uncomplicated type B intramural hematoma patients","volume":"35","author":"Chen","year":"2020","journal-title":"J Card Surg"},{"key":"10.1053\/j.semvascsurg.2026.02.005_bib0041","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.avsg.2018.03.010","article-title":"Thoracic Endovascular Aortic Repair versus Best Medical Treatment for High-Risk Type B Intramural Hematoma: A Systematic Review of Clinical Studies","volume":"52","author":"Li","year":"2018","journal-title":"Ann Vasc Surg"}],"container-title":["Seminars in Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0895796726000177?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0895796726000177?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:16:41Z","timestamp":1784297801000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0895796726000177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S0895796726000177"],"URL":"https:\/\/doi.org\/10.1053\/j.semvascsurg.2026.02.005","relation":{},"ISSN":["0895-7967"],"issn-type":[{"value":"0895-7967","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Should Type B intramural hematoma be treated like Type B aortic dissection? A narrative review","name":"articletitle","label":"Article Title"},{"value":"Seminars in Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.semvascsurg.2026.02.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}