Aortic Dissection Gold Standard Test. Aortic dissection is a lifethreatening emergency warranting expeditious diagnosis Computed tomographic angiography (CTA) is the established gold standard test but is not always fool proof We report the case of an 18yearold male patient with traumatic type A aortic dissection which was not evide Author Shweta Paulraj Prashanth Ashok Kumar Ajay Uprety Debanik ChaudhuriPublish Year 2020.

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Magnetic resonance angiogram is the most accurate sensitive and specific test for aortic dissection but is rarely used in the acute setting because it is more difficult to obtain than CT.

Aortic dissection Diagnosis recommendations BMJ Best Practice

There are four usual tests used to make the diagnosis of dissection computed tomography transesophageal echo magnetic resonance imaging and angiography Each is considered in turn Angiography has been the traditional gold standard primarily because prior to the 1970s when computed tomography became into use it was the only test available.

Could focused bedside transthoracic echocardiography improve

Aortography – Was the traditional gold standard delineating aortic incompetence and associated branch vessel involvement as well MRI / MRA – Excellent sensitivity and specificity limited by availability.

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Aortic dissection and multimodality imaging

Emergency Medicine Diagnostic Testing for Aortic Dissection :

Acute Aortic Dissection LITFL CCC Cardiology

Computed tomography angiography of the aorta remains the gold standard diagnostic test but use of focused bedside transthoracic echocardiography in cases where there is a low pretest probability of aortic dissection (such as those presenting with acute coronary syndrome or congestive heart failure) could help clinicians identify those who present in an atypical fashion.