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흉부대동맥 질환에서 시행된 하이브리드 혈관내 성형술의 중단기 성적
DC Field | Value | Language |
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dc.contributor.author | 장병철 | - |
dc.contributor.author | 홍순창 | - |
dc.contributor.author | 윤영남 | - |
dc.contributor.author | 이삭 | - |
dc.date.accessioned | 2015-04-23T17:43:39Z | - |
dc.date.available | 2015-04-23T17:43:39Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 3012-2859 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/103013 | - |
dc.description.abstract | Background: A hybrid procedure using an open surgical extra-anatomic bypass of aortic arch vessels and thoracic endovascular aortic repair (TEVAR) is less invasive than open surgery, and provides a suitable proximal landing zone. Here we report our experience with a hybrid TEVAR procedure at a single center. Material and Method: We retrospectively reviewed consecutive patients with thoracic aortic disease who received a hybrid TEVAR procedure between August 2008 and January 2010. Patients' data were prospectively collected and mean follow-up was $10.8{\pm}5.5$ months (range 3~20). Result: Nine patients (7 males and 2 females) with a mean age of $63.8{\pm}15.8$ years (range 38~84) underwent a hybrid procedure. Five patients had an arch or a proximal descending aortic aneurysm, two had a dissecting aneurysm of the descending aorta, and two had an aneurysm of the ascending arch and descending aorta. Mean expected mortality calculated by logistic EuroSCORE was 21%. Six patients underwent debranching and rerouting from ascending aorta to arch vessels, 2 had carotid-carotid bypass grafting, and 1 underwent carotid-axillary bypass grafting. Mean operation time was $221.4{\pm}84.0$ min (range 94~364). Deployment success of endovascular stent grafting was 100% with no endoleak on completion angiography. There was no mortality, and a small embolism in the branch of the right opthalmic artery in one patient. During follow-up, one intervention was required for the endoleak. Actuarial survival at 20 months was 100%. Conclusion: Early and mid-term results are encouraging and suggest that hybrid TEVAR procedures are less invasive and safer and represent an effective technique for treating thoracic aortic disease. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 490~498 | - |
dc.relation.isPartOf | Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 흉부대동맥 질환에서 시행된 하이브리드 혈관내 성형술의 중단기 성적 | - |
dc.title.alternative | Early and Midterm Results of Hybrid Endovascular Repair for Thoracic Aortic Disease | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | 윤영남 | - |
dc.contributor.googleauthor | 김관욱 | - |
dc.contributor.googleauthor | 홍순창 | - |
dc.contributor.googleauthor | 이삭 | - |
dc.contributor.googleauthor | 장병철 | - |
dc.contributor.googleauthor | 송승준 | - |
dc.identifier.doi | 10.5090/kjtcs.2010.43.5.490 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03430 | - |
dc.contributor.localId | A04412 | - |
dc.contributor.localId | A02576 | - |
dc.contributor.localId | A02807 | - |
dc.relation.journalcode | J02127 | - |
dc.subject.keyword | Aorta, surgery | - |
dc.subject.keyword | Aorta, arch | - |
dc.subject.keyword | Endovascular stent | - |
dc.subject.keyword | Hybrid procedure | - |
dc.contributor.alternativeName | Chang, Byung Chul | - |
dc.contributor.alternativeName | Hong, Soon Chang | - |
dc.contributor.alternativeName | Youn, Young Nam | - |
dc.contributor.alternativeName | Lee, Sak | - |
dc.contributor.affiliatedAuthor | Chang, Byung Chul | - |
dc.contributor.affiliatedAuthor | Hong, Soon Chang | - |
dc.contributor.affiliatedAuthor | Youn, Young Nam | - |
dc.contributor.affiliatedAuthor | Lee, Sak | - |
dc.citation.volume | 43 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 490 | - |
dc.citation.endPage | 498 | - |
dc.identifier.bibliographicCitation | Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.43(5) : 490-498, 2010 | - |
dc.identifier.rimsid | 35622 | - |
dc.type.rims | ART | - |
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