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Mid-term clinical outcomes and morphological changes after endovascular aneurysm repair of inflammatory abdominal aortic aneurysms: a single-center experience

DC FieldValueLanguage
dc.contributor.author원정윤-
dc.contributor.author이광훈-
dc.contributor.author이도연-
dc.contributor.author이승현-
dc.contributor.author이신재-
dc.contributor.author최동훈-
dc.contributor.author고영국-
dc.contributor.author김만득-
dc.contributor.author김은경-
dc.contributor.author김인중-
dc.contributor.author박성일-
dc.contributor.author원종윤-
dc.date.accessioned2016-02-04T11:05:33Z-
dc.date.available2016-02-04T11:05:33Z-
dc.date.issued2015-
dc.identifier.issn0284-1851-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/139645-
dc.description.abstractBACKGROUND: Endovascular aneurysm repair (EVAR) has been suggested as treatment for inflammatory abdominal aortic aneurysms (IAAA), but the actual clinical and radiological outcomes need to be evaluated. PURPOSE: To report morphological changes in EVAR of IAAAs. MATERIAL AND METHODS: Ten male patients (mean age, 67 years; range, 54-78 years) with IAAA were treated with EVAR using endovascular stent-grafts between March 2001 and January 2012. We retrospectively compared computed tomography angiography (CTA) images taken immediately (30 days after the EVAR), short-term (up to 1 year), and mid-term (beyond 1 year) to CTA images taken before the EVAR. Clinical success was defined as successful deployment of the stent-graft without a type I or III endoleak. Morphologic responses of IAAA to EVAR were reviewed by measuring the changes in aneurysm sac maximum diameter (mm), periaortic fibrosis (PAF) thickness (mm), and PAF enhancement (Hounsfield units [HU] on delayed CTA) on serial images. RESULTS: Ten IAAA patients treated with EVAR were followed for a mean of 42 months (range, 7-129 months). No aneurysm-related deaths were observed during the follow-up of 10 patients. Primary clinical success was achieved in seven patients, assisted primary clinical success in one patient, and secondary clinical success in two patients. Aneurysm sac maximum diameter decreased in all patients (mean percentage reduction of 7.6%, 8.5%, and 17.3% in immediate, short-term, and mid-term follow-up CTA, respectively). PAF thickness decreased in eight patients (10.4%, 16.8%, and 27.2% regression upon follow-up). PAF enhancement decreased in nine patients and increased in one patient (mean percentage decrease of 13.0%, 27.3%, and 40.8% upon follow-up). CONCLUSION: Treatment of IAAA with EVAR was effective and reduced aneurysmal sac diameter and the extent of PAF with acceptable morbidity.-
dc.description.statementOfResponsibilityopen-
dc.format.extent304~311-
dc.relation.isPartOfACTA RADIOLOGICA-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAortic Aneurysm, Abdominal/diagnostic imaging*-
dc.subject.MESHAortic Aneurysm, Abdominal/therapy*-
dc.subject.MESHBlood Vessel Prosthesis*-
dc.subject.MESHContrast Media-
dc.subject.MESHEndoleak/diagnostic imaging*-
dc.subject.MESHEndoleak/therapy-
dc.subject.MESHEndovascular Procedures/methods*-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIopamidol-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRadiographic Image Enhancement/methods-
dc.subject.MESHRadiographic Image Interpretation, Computer-Assisted/methods-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStents-
dc.subject.MESHTomography, X-Ray Computed/methods-
dc.subject.MESHTreatment Outcome-
dc.titleMid-term clinical outcomes and morphological changes after endovascular aneurysm repair of inflammatory abdominal aortic aneurysms: a single-center experience-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorSeung Hyun Lee-
dc.contributor.googleauthorJong Yun Won-
dc.contributor.googleauthorDo Yun Lee-
dc.contributor.googleauthorIl Jung Kim-
dc.contributor.googleauthorShin Jae Lee-
dc.contributor.googleauthorMan Deuk Kim-
dc.contributor.googleauthorSung Il Park-
dc.contributor.googleauthorKwang Hun Lee-
dc.contributor.googleauthorYoung Guk Ko-
dc.contributor.googleauthorDong-Hoon Choi-
dc.contributor.googleauthorEun-Kyung Kim-
dc.identifier.doi10.1177/0284185114526591-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02676-
dc.contributor.localIdA02718-
dc.contributor.localIdA02944-
dc.contributor.localIdA04053-
dc.contributor.localIdA00127-
dc.contributor.localIdA00420-
dc.contributor.localIdA00801-
dc.contributor.localIdA00846-
dc.contributor.localIdA01510-
dc.contributor.localIdA02443-
dc.contributor.localIdA02934-
dc.relation.journalcodeJ00033-
dc.identifier.eissn1600-0455-
dc.identifier.pmid24609870-
dc.identifier.urlhttp://acr.sagepub.com/content/56/3/304.long-
dc.subject.keywordAbdominal aortic aneurysm-
dc.subject.keywordCT-
dc.subject.keywordendovascular procedures-
dc.subject.keywordinflammatory perianeurysmal fibrosis-
dc.subject.keywordstents-
dc.subject.keywordtreatment outcome-
dc.contributor.alternativeNameWon, Jong Yun-
dc.contributor.alternativeNameLee, Kwang Hun-
dc.contributor.alternativeNameLee, Do Yun-
dc.contributor.alternativeNameLee, Seung Hyun-
dc.contributor.alternativeNameLee, Shin Jae-
dc.contributor.alternativeNameChoi, Dong Hoon-
dc.contributor.alternativeNameKo, Young Guk-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.alternativeNameKim, Eun Kyung-
dc.contributor.alternativeNameKim, In Joong-
dc.contributor.alternativeNamePark, Sung Il-
dc.contributor.affiliatedAuthorLee, Kwang Hun-
dc.contributor.affiliatedAuthorLee, Do Yun-
dc.contributor.affiliatedAuthorLee, Shin Jae-
dc.contributor.affiliatedAuthorChoi, Dong Hoon-
dc.contributor.affiliatedAuthorKo, Young Guk-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.contributor.affiliatedAuthorKim, Eun-Kyung-
dc.contributor.affiliatedAuthorKim, In Joong-
dc.contributor.affiliatedAuthorPark, Sung Il-
dc.contributor.affiliatedAuthorWon, Jong Yun-
dc.contributor.affiliatedAuthorLee, Seung Hyun-
dc.rights.accessRightsnot free-
dc.citation.volume56-
dc.citation.number3-
dc.citation.startPage304-
dc.citation.endPage311-
dc.identifier.bibliographicCitationACTA RADIOLOGICA, Vol.56(3) : 304-311, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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