Cited 38 times in
Intermediate to long-term outcomes of endoluminal stent-graft repair in patients with chronic type B aortic dissection
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 고영국 | - |
dc.contributor.author | 김웅 | - |
dc.contributor.author | 김재덕 | - |
dc.contributor.author | 김중선 | - |
dc.contributor.author | 심원흠 | - |
dc.contributor.author | 이도연 | - |
dc.contributor.author | 장병철 | - |
dc.contributor.author | 최동훈 | - |
dc.contributor.author | 홍성진 | - |
dc.date.accessioned | 2015-04-24T16:33:35Z | - |
dc.date.available | 2015-04-24T16:33:35Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 1526-6028 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/103741 | - |
dc.description.abstract | PURPOSE: To assess mid- to long-term clinical results of stent-graft repair in patients with type B aortic dissection. METHODS: Retrospective analysis was done on 72 patients (47 men; mean age 55+/-12 years) who were diagnosed with chronic type B aortic dissection and underwent stent-graft repair from June 1994 to December 2007. Two types of stent-grafts were employed. Prior to 2000, a custom-designed stent-graft composed of self-expanding Z-type stainless steel stents covered with woven polytetrafluoroethylene material was used. Thereafter, a separate-type (modular) manufactured stent-graft was used, consisting of proximal and distal nitinol stents with an unsupported Dacron tube graft in between; the unsupported graft was stented after deployment. RESULTS: Procedural success (completion of the stent-graft deployment at the target area without device failure) was obtained in 97% (70/72). The 2 failures were due to stent migration and tortuous anatomy, respectively. There were persistent type I endoleaks in 6 cases for a clinical success (entry tear exclusion) of 88% (64/72). There was no immediate postprocedural mortality or paraplegia. There was unintended partial left subclavian artery occlusion in 1 case, as well as postprocedural transient renal failure in 1 patient and 2 access-site pseudoaneurysms. Median follow-up was 43 months (range 5-97, mean 64.4+/-38.8) in 61 patients (3 patients lost to follow-up). Five patients died, 1 of probable aortic rupture in the setting of residual type I endoleak. Overall clinical success (no death, conversion, or endoleak) was achieved in 84% (47/56); of these, 35 (74%) showed complete resolution of the thoracic false lumen, while the other 12 (26%) had a decrease in false lumen diameter. CONCLUSIONS: Intermediate to long-term results of stent-graft implantation in patients with chronic type B aortic dissection seem acceptable and may justify the use of this minimally invasive approach as first line therapy in these patients | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 42~47 | - |
dc.relation.isPartOf | JOURNAL OF ENDOVASCULAR THERAPY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aneurysm, Dissecting/mortality | - |
dc.subject.MESH | Aneurysm, Dissecting/surgery* | - |
dc.subject.MESH | AorticAneurysm, Thoracic/mortality | - |
dc.subject.MESH | AorticAneurysm, Thoracic/surgery* | - |
dc.subject.MESH | Blood Vessel Prosthesis* | - |
dc.subject.MESH | Blood Vessel Prosthesis Implantation/adverse effects | - |
dc.subject.MESH | Blood Vessel Prosthesis Implantation/instrumentation* | - |
dc.subject.MESH | Blood Vessel Prosthesis Implantation/mortality | - |
dc.subject.MESH | ChronicDisease | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Kaplan-Meier Estimate | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Polyethylene Terephthalates | - |
dc.subject.MESH | Polytetrafluoroethylene | - |
dc.subject.MESH | Prosthesis Design | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stents* | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Intermediate to long-term outcomes of endoluminal stent-graft repair in patients with chronic type B aortic dissection | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | Ung Kim | - |
dc.contributor.googleauthor | Sung-Jin Hong | - |
dc.contributor.googleauthor | Jaedeok Kim | - |
dc.contributor.googleauthor | Jung-Sun Kim | - |
dc.contributor.googleauthor | Young-Guk Ko | - |
dc.contributor.googleauthor | Donghoon Choi | - |
dc.contributor.googleauthor | Do Yun Lee | - |
dc.contributor.googleauthor | Byung-Chul Chang | - |
dc.contributor.googleauthor | Won-Heum Shim | - |
dc.identifier.doi | 10.1583/08-2563.1 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00127 | - |
dc.contributor.localId | A00763 | - |
dc.contributor.localId | A00858 | - |
dc.contributor.localId | A00961 | - |
dc.contributor.localId | A02202 | - |
dc.contributor.localId | A02718 | - |
dc.contributor.localId | A03430 | - |
dc.contributor.localId | A04053 | - |
dc.contributor.localId | A04403 | - |
dc.relation.journalcode | J01395 | - |
dc.identifier.eissn | 1545-1550 | - |
dc.identifier.pmid | 19281291 | - |
dc.identifier.url | http://jevtonline.org/doi/abs/10.1583/08-2563.1 | - |
dc.subject.keyword | thoracic aortic dissection | - |
dc.subject.keyword | type B dissection | - |
dc.subject.keyword | thoracic endovascular aortic repair | - |
dc.subject.keyword | stent-graft | - |
dc.subject.keyword | outcome analysis | - |
dc.contributor.alternativeName | Ko, Young Guk | - |
dc.contributor.alternativeName | Kim, Woong | - |
dc.contributor.alternativeName | Kim, Jae Deok | - |
dc.contributor.alternativeName | Kim, Jung Sun | - |
dc.contributor.alternativeName | Shim, Won Heum | - |
dc.contributor.alternativeName | Lee, Do Yun | - |
dc.contributor.alternativeName | Chang, Byung Chul | - |
dc.contributor.alternativeName | Choi, Dong Hoon | - |
dc.contributor.alternativeName | Hong, Sung Jin | - |
dc.contributor.affiliatedAuthor | Ko, Young Guk | - |
dc.contributor.affiliatedAuthor | Kim, Woong | - |
dc.contributor.affiliatedAuthor | Kim, Jae Deok | - |
dc.contributor.affiliatedAuthor | Kim, Jung Sun | - |
dc.contributor.affiliatedAuthor | Shim, Won Heum | - |
dc.contributor.affiliatedAuthor | Lee, Do Yun | - |
dc.contributor.affiliatedAuthor | Chang, Byung Chul | - |
dc.contributor.affiliatedAuthor | Choi, Dong Hoon | - |
dc.contributor.affiliatedAuthor | Hong, Sung Jin | - |
dc.citation.volume | 16 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 42 | - |
dc.citation.endPage | 47 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ENDOVASCULAR THERAPY, Vol.16(1) : 42-47, 2009 | - |
dc.identifier.rimsid | 36661 | - |
dc.type.rims | ART | - |
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