{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:50:46Z","timestamp":1791355846220,"version":"4.3.1"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Iatrogenic aortic dissection (IAD) is a rare but life-threatening complication of open cardiac surgical procedures and catheter-based interventions, associated with high morbidity and mortality. With an ageing population and increasing procedural complexity, the absolute burden of IAD is expected to rise. Unlike spontaneous aortic dissection, IAD typically results from direct intimal injury during cannulation, clamping, catheter manipulation, or device deployment\u2014while its clinical course is strongly influenced by the procedural context and the speed of recognition. Evidence to guide the management of IAD remains limited and is largely derived from registries and observational reports, contributing to substantial variation in diagnostic and therapeutic strategies. This European Association for Cardio-Thoracic Surgery Expert Consensus Document provides the first dedicated, multidisciplinary guidance on IAD, covering definitions and classification, risk factors, prevention, early diagnosis, acute management pathways, and post-discharge surveillance. The document synthesizes available evidence in the literature and expert opinions to offer practical, procedure-specific guidance and algorithms for IAD treatment. The guidance and algorithms include recommendations for rapid identification, containment, and timely surgical or endovascular repair of IAD, as well as conservative management strategies when appropriate, with the aim of supporting clinical decision-making and ultimately improving patient outcomes.<\/jats:p>","DOI":"10.1093\/ejcts\/ezag221","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:00:16Z","timestamp":1789473616000},"source":"Crossref","is-referenced-by-count":0,"title":["EACTS Expert Consensus Document on Iatrogenic Aortic Dissection"],"prefix":"10.1093","author":[{"given":"Maximilian","family":"Luehr","sequence":"first","affiliation":[{"name":"University Hospital RWTH Aachen Department of Cardiac Surgery, ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaik","family":"Nersesian","sequence":"additional","affiliation":[{"name":"Deutsches Herzzentrum der Charit\u00e9 (DHZC) Department of Cardiothoracic and Vascular Surgery, , Berlin,","place":["Germany"]},{"name":"DZHK (German Centre for Cardiovascular Research) , Partner Site Berlin, Berlin,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard","family":"Pitts","sequence":"additional","affiliation":[{"name":"Deutsches Herzzentrum der Charit\u00e9 (DHZC) Department of Cardiothoracic and Vascular Surgery, , Berlin,","place":["Germany"]},{"name":"DZHK (German Centre for Cardiovascular Research) , Partner Site Berlin, Berlin,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Di Marco","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna , Bologna,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Dumfarth","sequence":"additional","affiliation":[{"name":"Medical University of Vienna Department of Cardiac and Thoracic Aortic Surgery, , Vienna,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph A","family":"Nienaber","sequence":"additional","affiliation":[{"name":"Division of Cardiology at the Royal Brompton & Harefield Hospitals, Guy's and St. Thomas' NHS Foundation Trust , London,","place":["United Kingdom"]},{"name":"Imperial College London National Heart and Lung Institute, Faculty of Medicine, , London,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej K","family":"Kolowca","sequence":"additional","affiliation":[{"name":"University of Rzeszow Department of Cardiac Surgery, , Rzesz\u00f3w,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Elisabeth","family":"Stelzm\u00fcller","sequence":"additional","affiliation":[{"name":"Medical University of Vienna Department of Cardiac and Thoracic Aortic Surgery, , Vienna,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Milojevic","sequence":"additional","affiliation":[{"name":"National Institute for Heart and Blood Vessels Dedinje Department of Cardiac Surgery and Cardiovascular Research, , Belgrade,","place":["Serbia"]},{"name":"University Hospital Zurich, University of Zurich Department of Cardiac Surgery, , Zurich,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"University Clinic Freiburg Clinic for Cardiovascular Surgery, Department University Heart Center Freiburg Bad Krozingen, , Freiburg,","place":["Germany"]},{"name":"Albert Ludwigs University Freiburg Faculty of Medicine, , Freiburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Schoenhoff","sequence":"additional","affiliation":[{"name":"University Hospital Bern Department of Cardiac Surgery, , Inselspital, University of Bern, Bern,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evgenij","family":"Potapov","sequence":"additional","affiliation":[{"name":"Deutsches Herzzentrum der Charit\u00e9 (DHZC) Department of Cardiothoracic and Vascular Surgery, , Berlin,","place":["Germany"]},{"name":"DZHK (German Centre for Cardiovascular Research) , Partner Site Berlin, Berlin,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"EACTS Document Reviewers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Siepe","sequence":"additional","affiliation":[{"name":"University Hospital Bern, University of Bern Department of Cardiac Surgery, , Bern,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Gaudino","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine Department of Cardiothoracic Surgery, , New York, NY,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Ascaso","sequence":"additional","affiliation":[{"name":"Hospital Cl\u00ednic Barcelona, University of Barcelona Department of Cardiovascular Surgery, , Barcelona,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Grabenw\u00f6ger","sequence":"additional","affiliation":[{"name":"Klinik Floridsdorf Department of Cardiovascular Surgery, , Vienna,","place":["Austria"]},{"name":"Karl Landsteiner Institute of Cardiovascular Research , Vienna,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Onorati","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Unit, Ospedale Santa Chiara, University of Trento , 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