80 74

Cited 7 times in

Endovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm

Authors
 Hyung Chae Lee  ;  Hyun-Chel Joo  ;  Seung Hyun Lee  ;  Sak Lee  ;  Byung-Chul Chang  ;  Kyung-Jong Yoo  ;  Young-Nam Youn 
Citation
 Yonsei Medical Journal, Vol.56(4) : 904-912, 2015 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2015
Abstract
PURPOSE: To compare the outcomes of thoracic endovascular aortic repair (TEVAR) with those of open repair for descending thoracic aortic aneurysms (DTAA). MATERIALS AND METHODS: We compared the outcomes of 114 patients with DTAA and proximal landing zones 3 or 4 after TEVAR to those of 53 patients after conventional open repairs. Thirty-day and late mortality were the primary endpoints, and early morbidities, aneurysm-related death, and re-intervention were the secondary endpoints. RESULTS: The TEVAR group was older and had more incidences of dissecting aneurysm. The mean follow-up was 36±26 months (follow-up rate, 97.8%). The 30-day mortality in the TEVAR and open repair groups were 3.5% and 9.4% (p=0.11). Perioperative stroke and paraplegia incidences were similar between the groups [5.3% vs. 7.5% (p=0.56) and 7.5% vs. 3.5% (p=0.26), respectively]. Respiratory failure occurred more in the open repair group (1.8% vs. 26.4%, p<0.01). The incidence of acute kidney injury requiring dialysis was higher in the open repair group (1.8% vs. 9.4%, p<0.01). The cumulative survival rate was higher in the TEVAR group at 2 to 5 years (79.6% vs. 58.3%, p=0.03). The free from re-intervention was lower in the TEVAR group (65.3% vs. 100%, p=0.02), and the free from aneurysm-related death in the TEVAR and open repair groups were 88.5% and 86.1% (p=0.45). CONCLUSION: TEVAR is safe and effective for treating DTAAs with improved perioperative and long-term outcomes compared with open repair.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140626
DOI
10.3349/ymj.2015.56.4.904
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)
Yonsei Authors
유경종(Yoo, Kyung Jong)
윤영남(Youn, Young Nam)
이삭(Lee, Sak)
이승현(Lee, Seung Hyun)
장병철(Chang, Byung Chul)
주현철(Joo, Hyun Chel)
사서에게 알리기
  feedback
Files in This Item:
T201502459.pdf Download
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse