Crawford classification
Updates to Article Attributes
The Crawford classification is a system used to classify thoracoabdominal aneurysms and has important therapeutic implications. Precise classification of anatomical features allows accurate stratification of risk and appropriate operative planning 1,2.
Classification
The system divides thoracoabdominal aneurysms into five types 1,3,4:
- type I: involvement of the entire descending thoracic aorta distal to the left subclavian artery, involving only the upper abdominal aorta superior to the renal arteries (25%)
- type II: involvement of the entire descending thoracic aorta distal to the left subclavian artery and most if not the entire abdominal aorta (30%)
-
type III:
involvementinvolvement of the descending aorta from the sixth intercostal space to include the renal arteries and most if not the entire abdominal aorta (<25%) - type IV: involvement of the entire abdominal aorta with sparing of the thoracic aorta (<25%)
- type V: involvement of the descending aortafrom the sixth intercostal space to just superior to the renal arteries
History and etymology
The classification system was composed by the American cardiovascular surgeon, Ernest Crawford (1922-1992) and his colleagues in 1986 when it was recognised that there was a correlation between the extent of thoracoabdominal aneurysms and patient outcomes 3.
The vascular surgeon Hazim Safi and his colleagues later modified the classification in 1953, adding a type V 4.
-<p>The <strong>Crawford classification</strong> is a system used to classify thoracoabdominal aneurysms and has important therapeutic implications. Precise classification of anatomical features allows accurate stratification of risk and appropriate operative planning <sup>1,</sup><sup>2</sup>. </p><h4><strong>Classification</strong></h4><p>The system divides thoracoabdominal aneurysms into five types <sup>1,</sup><sup>3,4</sup>:</p><ul>- +<p>The <strong>Crawford classification</strong> is a system used to classify <a href="/articles/thoracoabdominal-aneurysms">thoracoabdominal aneurysms</a> and has important therapeutic implications. Precise classification of anatomical features allows accurate stratification of risk and appropriate operative planning <sup>1,</sup><sup>2</sup>. </p><h4>Classification</h4><p>The system divides thoracoabdominal aneurysms into five types <sup>1,</sup><sup>3,4</sup>:</p><ul>
-<strong>type III: i</strong>nvolvement of the descending aorta from the sixth intercostal space to include the renal arteries and most if not the entire abdominal aorta (<25%) </li>- +<strong>type III: </strong>involvement of the descending aorta from the sixth intercostal space to include the renal arteries and most if not the entire abdominal aorta (<25%) </li>
-</ul><h4><strong>History and etymology</strong></h4><p>The classification system was composed by the American cardiovascular surgeon, <strong>Ernest Crawford</strong> (1922-1992) and his colleagues in 1986 when it was recognised that there was a correlation between the extent of thoracoabdominal aneurysms and patient outcomes <sup>3</sup>.</p><p>The vascular surgeon <strong>Hazim Safi</strong> and his colleagues later modified the classification in 1953, adding a type V <sup>4</sup>. </p>- +</ul><h4>History and etymology</h4><p>The classification system was composed by the American cardiovascular surgeon, <strong>Ernest Crawford</strong> (1922-1992) and his colleagues in 1986 when it was recognised that there was a correlation between the extent of thoracoabdominal aneurysms and patient outcomes <sup>3</sup>.</p><p>The vascular surgeon <strong>Hazim Safi</strong> and his colleagues later modified the classification in 1953, adding a type V <sup>4</sup>. </p>
References changed:
- 1. Anton N. Sidawy, Bruce A. Perler. Rutherford's Vascular Surgery and Endovascular Therapy, 2-Volume Set. (2018) ISBN: 9780323427913 - <a href="http://books.google.com/books?vid=ISBN9780323427913">Google Books</a>
- 2. Green D, Palumbo M, Lau C. Imaging of Thoracoabdominal Aortic Aneurysms. J Thorac Imaging. 2018;33(6):358-65. <a href="https://doi.org/10.1097/RTI.0000000000000341">doi:10.1097/RTI.0000000000000341</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/29979239">Pubmed</a>
- 3. Crawford E, Crawford J, Safi H et al. Thoracoabdominal Aortic Aneurysms: Preoperative and Intraoperative Factors Determining Immediate and Long-Term Results of Operations in 605 Patients. J Vasc Surg. 1986;3(3):389-404. <a href="https://doi.org/10.1067/mva.1986.avs0030389">doi:10.1067/mva.1986.avs0030389</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/3951025">Pubmed</a>
- 4. Safi H & Miller C. Spinal Cord Protection in Descending Thoracic and Thoracoabdominal Aortic Repair. Ann Thorac Surg. 1999;67(6):1937-9. <a href="https://doi.org/10.1016/s0003-4975(99)00397-5">doi:10.1016/s0003-4975(99)00397-5</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/10391343">Pubmed</a>
Sections changed:
- Classifications
Systems changed:
- Vascular