Cited 31 times in
Elective stent-graft treatment of aortic dissections
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 심원흠 | - |
dc.contributor.author | 원종윤 | - |
dc.contributor.author | 이광훈 | - |
dc.contributor.author | 이도연 | - |
dc.contributor.author | 장병철 | - |
dc.contributor.author | 최동훈 | - |
dc.date.accessioned | 2015-07-14T16:35:31Z | - |
dc.date.available | 2015-07-14T16:35:31Z | - |
dc.date.issued | 2004 | - |
dc.identifier.issn | 1526-6028 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/111199 | - |
dc.description.abstract | Purpose: To retrospectively review 8 years' experience with stent-graft treatment of aortic dissections at a single institution. Methods: Forty-six patients (31 men; mean age 59 years, range 38–88) underwent stent-graft treatment for 9 Stanford type A and 37 type B aortic dissections (9 acute phase, 13 subacute, 24 chronic). Custom-designed self-expanding stainless steel Z stents covered with polytetrafluoroethylene were used (n=20) until low-profile modular stent-grafts became available for percutaneous delivery (n=26). Results: Endovascular stent-graft deployment was technically successful in 44 (96%) patients; the 2 failed cases owing to intraprocedural migration and graft torsion were converted to surgery. There were 5 type I endoleaks for a clinical success (entry tear exclusion) of 85% (39/46). Complications included 3 cases of transient renal failure, 2 puncture site pseudoaneurysms, 1 guidewire-induced new intimal tear (converted), and 2 cases of stent-induced saccular aneurysms (1 converted). Follow-up at a mean 34 months (range 12–96) showed complete resolution of the thoracic false lumen in 14 (74%) of 19 acute/subacute patients treated successfully; 3 (16%) showed a reduced thoracic false lumen diameter. In the 23 chronic-phase patients treated successfully, 8 (35%) had complete resolution of the thoracic false lumen, and 11 (48%) showed size reduction. Enlargement of the abdominal aortic false lumen due to persistent flow into re-entry tear(s) occurred in 3 (13%). Conclusions: Stent-graft treatment is a feasible and effective treatment modality in aortic dissection. However, close follow-up is mandatory to monitor new intimal tear, saccular aneurysms, or enlargement of the abdominal aortic false lumen. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 667~675 | - |
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 | Aged, 80 and over | - |
dc.subject.MESH | Aneurysm, Dissecting/diagnostic imaging* | - |
dc.subject.MESH | Aneurysm, Dissecting/surgery* | - |
dc.subject.MESH | Aortic Aneurysm, Abdominal/diagnostic imaging | - |
dc.subject.MESH | Aortic Aneurysm, Abdominal/mortality | - |
dc.subject.MESH | Aortic Aneurysm, Abdominal/surgery | - |
dc.subject.MESH | Aortic Aneurysm, Thoracic/diagnostic imaging | - |
dc.subject.MESH | Aortic Aneurysm, Thoracic/mortality | - |
dc.subject.MESH | Aortic Aneurysm, Thoracic/surgery | - |
dc.subject.MESH | Blood Vessel Prosthesis* | - |
dc.subject.MESH | Blood Vessel Prosthesis Implantation/adverse effects | - |
dc.subject.MESH | Blood Vessel Prosthesis Implantation/methods* | - |
dc.subject.MESH | Cohort Studies | - |
dc.subject.MESH | Emergency Treatment/methods | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Korea | - |
dc.subject.MESH | Magnetic Resonance Angiography | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Assessment | - |
dc.subject.MESH | Severity of Illness Index | - |
dc.subject.MESH | Survival Rate | - |
dc.subject.MESH | Tomography, X-Ray Computed | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Elective stent-graft treatment of aortic dissections | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Kwang-Hun Lee | - |
dc.contributor.googleauthor | Jong Yun Won | - |
dc.contributor.googleauthor | Byung Chul Chang | - |
dc.contributor.googleauthor | Won-Heum Shim | - |
dc.contributor.googleauthor | Donghoon Choi | - |
dc.contributor.googleauthor | Do Yun Lee | - |
dc.identifier.doi | 10.1583/1220MR.1 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02202 | - |
dc.contributor.localId | A02676 | - |
dc.contributor.localId | A02718 | - |
dc.contributor.localId | A03430 | - |
dc.contributor.localId | A04053 | - |
dc.contributor.localId | A02443 | - |
dc.relation.journalcode | J01395 | - |
dc.identifier.eissn | 1545-1550 | - |
dc.identifier.pmid | 15615557 | - |
dc.identifier.url | http://jevtonline.org/doi/full/10.1583/1220MR.1 | - |
dc.subject.keyword | thoracic aorta | - |
dc.subject.keyword | dissection | - |
dc.subject.keyword | stent-graft | - |
dc.subject.keyword | endovascular repair | - |
dc.subject.keyword | complications | - |
dc.subject.keyword | false lumen | - |
dc.subject.keyword | entry tear | - |
dc.contributor.alternativeName | Shim, Won Heum | - |
dc.contributor.alternativeName | Won, Jong Yun | - |
dc.contributor.alternativeName | Lee, Kwang Hun | - |
dc.contributor.alternativeName | Lee, Do Yun | - |
dc.contributor.alternativeName | Chang, Byung Chul | - |
dc.contributor.alternativeName | Choi, Dong Hoon | - |
dc.contributor.affiliatedAuthor | Shim, Won Heum | - |
dc.contributor.affiliatedAuthor | Lee, Kwang Hun | - |
dc.contributor.affiliatedAuthor | Lee, Do Yun | - |
dc.contributor.affiliatedAuthor | Chang, Byung Chul | - |
dc.contributor.affiliatedAuthor | Choi, Dong Hoon | - |
dc.contributor.affiliatedAuthor | Won, Jong Yun | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 11 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 667 | - |
dc.citation.endPage | 675 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ENDOVASCULAR THERAPY, Vol.11(6) : 667-675, 2004 | - |
dc.identifier.rimsid | 36202 | - |
dc.type.rims | ART | - |
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