Reproductive endocrinology

Analysis of a streamlined pathway for aortic surveillance for Turner syndrome in a single centre

Clin Endocrinol (Oxf)Published Single-centre service evaluation of a risk-stratified aortic surveillance pathway

Authors' conclusion

The risk-stratified pathway safely allowed consolidation of resources to women perceived to be at highest risk of AoD (excluding pregnancy), supporting the efficacy of the pathway and allowing the diversion of resources to those most at risk of AoD.

Study context

Population
Women with Turner syndrome (TS) attending a dedicated TS clinic, divided by known risk factors for aortic dissection (AoD) and subdivided into 4 pathways by ascending aortic sizeincluded in analysis
Participants
168 women
Outcome
Outcomes of the risk-stratified aortic surveillance pathway

Main finding

As reported in the abstract

Ascending aorta replacements, all in the highest risk group
7
Remaining patients in the highest risk groups
4
Dissected whilst awaiting planned aortic surgery
1
Currently awaiting surgery
1
Low BMI, aorta proportionally larger but not necessitating surgery
1
Declined surgery
1

Original publication

Analysis of a streamlined pathway for aortic surveillance for Turner syndrome in a single centre. Clin Endocrinol (Oxf). Published 11 September 2023. doi:10.1111/cen.14968

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