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Problems Encountered during and after Stent-Graft Treatment of Aortic Dissection

DC Field Value Language
dc.contributor.author고흥규-
dc.contributor.author서상현-
dc.contributor.author원정윤-
dc.contributor.author이광훈-
dc.contributor.author이도연-
dc.contributor.author장병철-
dc.contributor.author최동훈-
dc.contributor.author원종윤-
dc.date.accessioned2015-06-10T13:05:22Z-
dc.date.available2015-06-10T13:05:22Z-
dc.date.issued2006-
dc.identifier.issn1051-0443-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/110987-
dc.description.abstractPURPOSE: The authors report their experiences with the problems encountered during and after stent-graft placement in patients with aortic dissections. MATERIALS AND METHODS: Between July 1994 and December 2003, stent-graft placement was performed in 60 patients with aortic dissections, 9 patients with Stanford type A dissection and 51 patients with type B. Ten patients had acute dissection and 50 patients had chronic dissection. Each patient was followed for 12 to 107 months (mean, 33 mo). All cases were retrospectively reviewed for any problem that occurred during and after the procedure. RESULTS: During the procedure, there were two cases (3%) of stent-graft migration, one case (2%) of stent-graft torsion, two cases (3%) of stent-graft folding due to oversizing, three cases (5%) of persistent thoracic false lumen flow by the appearance of a hidden intimal tear, one case (2%) of new intimal tear that resulted in retrograde type A dissection, and 12 cases (20%) of type I endoleaks on aortograms taken immediately after the procedure. During the follow-up period, one case (2%) of transient cerebral ischemia, six cases (10%) of persistent type I endoleaks, two cases (3%) of type II endoleaks through the intercostal artery, four cases (7%) with progressive dilatation of abdominal false lumen, six cases (10%) of new intimal tears which resulted in saccular aneurysms (n=4) or new dissections (n=2) on either or both ends of the stent-graft, and two cases (3%) of mechanical failure were observed. Overall, five patients (8%) required surgical conversion, and there were no cases of procedure-related mortality. CONCLUSION: Various problems can occur during and after stent-graft placement in aortic dissection. The thorough evaluation of preoperative imaging and close follow-up are mandatory to optimize the management of such problems.-
dc.description.statementOfResponsibilityopen-
dc.format.extent271~281-
dc.relation.isPartOfJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAneurysm, Dissecting/diagnostic imaging-
dc.subject.MESHAneurysm, Dissecting/surgery*-
dc.subject.MESHAortography-
dc.subject.MESHBlood Vessel Prosthesis Implantation/methods*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIntraoperative Complications/epidemiology*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPolytetrafluoroethylene-
dc.subject.MESHPostoperative Complications/epidemiology*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStents*-
dc.subject.MESHTomography, X-Ray Computed-
dc.subject.MESHTreatment Outcome-
dc.titleProblems Encountered during and after Stent-Graft Treatment of Aortic Dissection-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorJong Yun Won-
dc.contributor.googleauthorSang-Hyun Suh-
dc.contributor.googleauthorHeung-kyu Ko-
dc.contributor.googleauthorKwang Hoon Lee-
dc.contributor.googleauthorWon Heum Shim-
dc.contributor.googleauthorByung-Chul Chang-
dc.contributor.googleauthorDong Hoon Choi-
dc.contributor.googleauthorSang Joon Park-
dc.contributor.googleauthorDo Yun Lee-
dc.identifier.doi10.1097/01.RVI.0000195141.98163.30-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00157-
dc.contributor.localIdA01886-
dc.contributor.localIdA02676-
dc.contributor.localIdA02718-
dc.contributor.localIdA03430-
dc.contributor.localIdA04053-
dc.contributor.localIdA02443-
dc.relation.journalcodeJ01922-
dc.identifier.eissn1535-7732-
dc.identifier.pmid16517772-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S105104430760030X-
dc.contributor.alternativeNameKo, Heung Kyu-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.alternativeNameWon, Jong Yun-
dc.contributor.alternativeNameLee, Kwang Hun-
dc.contributor.alternativeNameLee, Do Yun-
dc.contributor.alternativeNameChang, Byung Chul-
dc.contributor.alternativeNameChoi, Dong Hoon-
dc.contributor.affiliatedAuthorKo, Heung Kyu-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.contributor.affiliatedAuthorLee, Kwang Hun-
dc.contributor.affiliatedAuthorLee, Do Yun-
dc.contributor.affiliatedAuthorChang, Byung Chul-
dc.contributor.affiliatedAuthorChoi, Dong Hoon-
dc.contributor.affiliatedAuthorWon, Jong Yun-
dc.rights.accessRightsnot free-
dc.citation.volume17-
dc.citation.number2 Pt 1-
dc.citation.startPage271-
dc.citation.endPage281-
dc.identifier.bibliographicCitationJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.17(2 Pt 1) : 271-281, 2006-
dc.identifier.rimsid51902-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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