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Table 8 Recommendations for CMR in aortic diseases

From: Role of cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology

Recommendations on diagnostic work-up of acute aortic syndrome Classa Levelb 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 Classa Levelb 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 Classa Levelb 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
  1. a Class of recommendation
  2. b Level of evidence