Penetrating Atherosclerotic Ulcers

By Aortic Academy Categories: Aortic Ulcers

About Course

Course Overview – Penetrating Atherosclerotic Ulcers

Focused training on the diagnosis, imaging, and management of PAUs of the thoracic and abdominal aorta
Reviews the pathophysiology and natural history of PAUs and how they differ from intramural hematomas and classic dissections
Provides guidance on CTA interpretation, ulcer morphology, and progression risk factors
Discusses conservative monitoring vs. endovascular intervention, including patient selection
Covers TEVAR planning, stent graft considerations, and access management for PAUs
Includes real-world case examples, imaging libraries, and treatment algorithms
Summarizes current evidence and clinical guidelines relevant to PAU management

About us

Aortic Academy is an advanced educational platform dedicated solely to the diagnosis, treatment, and management of aortic pathologies. Partnering with world-renowned vascular surgeons, interventional radiologists, interventional cardiologists and cardiac surgeons, and trauma specialists, we deliver a blend of: On-demand video modules: Step-by-step procedural demonstrations and device tutorials. Live case transmissions & webinars: Interactive sessions with real-time Q&A. Supporting publications: Clinical guidelines, consensus statements, and peer-reviewed research.

In the Penetrating Atherosclerotic Ulcers course, you will gain focused, clinically applicable knowledge to accurately diagnose and manage this often-underrecognized but potentially life-threatening aortic pathology. By the end of this course, you will be able to:
Understand the pathophysiology and clinical significance of PAUs, including their differentiation from intramural hematomas, aortic dissections, and classic aneurysms
Identify high-risk ulcer characteristics using CTA and MRA, including depth, location, wall thickness, and associated hematoma
Apply risk stratification frameworks to determine which patients require surveillance vs. intervention
Plan and execute endovascular treatment (TEVAR) for PAUs, including device selection, landing zone considerations, and intraoperative strategies
Manage acute vs. chronic presentations, and understand progression risks such as rupture, pseudoaneurysm formation, or conversion to dissection
Recognize subtle clinical presentations and asymptomatic cases discovered incidentally on imaging
Stay current on guidelines and literature, including management recommendations from SVS, ESVS, and AHA/ACC
Interpret and discuss case-based examples, improving confidence in managing real-world patients with complex aortic atherosclerotic disease

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