Table 8 Recommendations for CMR in aortic diseases

Recommendations on diagnostic work-up of acute aortic syndrome

Class^a

Level^b

Page

 In stable patients with a suspicion of acute aortic syndrome, CMR is recommended (or should be considered) according to local availability and expertise

I

C

22

 In case of initially negative imaging with persistence of suspicion of acute aortic syndrome, repetitive imaging (CT or CMR) is recommended.

I

C

22

 In case of uncomplicated Type B aortic dissection treated medically, repeated imaging (CT or CMR) during the first days is recommended.

I

C

22

 In uncomplicated Type B intramural hematoma, repetitive imaging (CMR or CT) is indicated.

I

C

26

 In uncomplicated Type B penetrating aortic ulcer, repetitive imaging (CMR or CT) is indicated.

I

C

27

Recommendations for the management of aortic root dilation in patients with bicuspid aortic valve

Class^a

Level^b

Page

 CMR or CT is indicated in patients with bicuspid aortic valve when the morphology of the aortic root and the ascending aorta cannot be accurately assessed by TTE.

I

C

42

 In the case of aortic diameter >50 mm or an increase >3 mm/year measured by echocardiography, confirmation of the measurement is indicated, using another imaging modality (CT or CMR).

I

C

42

Recommendations for follow-up and management in chronic aortic diseases

Class^a

Level^b

Page

 Contrast CT or CMR is recommended to confirm the diagnosis of chronic aortic dissection.

I

C

48

 For follow-up after (T)EVAR in young patients, CMR should be preferred to CT for magnetic resonance-compatible stent grafts, to reduce radiation exposure.

IIa

C

48