Cited 21 times in
Endovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이삭 | - |
dc.contributor.author | 이승현 | - |
dc.contributor.author | 장병철 | - |
dc.contributor.author | 주현철 | - |
dc.contributor.author | 유경종 | - |
dc.contributor.author | 윤영남 | - |
dc.date.accessioned | 2016-02-04T11:31:41Z | - |
dc.date.available | 2016-02-04T11:31:41Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/140626 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 904~912 | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
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 | Age Factors | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aneurysm, Dissecting/epidemiology* | - |
dc.subject.MESH | Aneurysm, Dissecting/surgery | - |
dc.subject.MESH | Aortic Aneurysm, Thoracic/mortality | - |
dc.subject.MESH | Aortic Aneurysm, Thoracic/surgery* | - |
dc.subject.MESH | Aortic Rupture/mortality | - |
dc.subject.MESH | Aortic Rupture/surgery* | - |
dc.subject.MESH | Blood Vessel Prosthesis Implantation | - |
dc.subject.MESH | Endovascular Procedures | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Stroke/etiology | - |
dc.subject.MESH | Survival Rate | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Endovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | Hyung Chae Lee | - |
dc.contributor.googleauthor | Hyun-Chel Joo | - |
dc.contributor.googleauthor | Seung Hyun Lee | - |
dc.contributor.googleauthor | Sak Lee | - |
dc.contributor.googleauthor | Byung-Chul Chang | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.contributor.googleauthor | Young-Nam Youn | - |
dc.identifier.doi | 10.3349/ymj.2015.56.4.904 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02935 | - |
dc.contributor.localId | A02807 | - |
dc.contributor.localId | A03430 | - |
dc.contributor.localId | A03960 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A02576 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 26069110 | - |
dc.subject.keyword | Aortic aneurysm | - |
dc.subject.keyword | aorta | - |
dc.subject.keyword | cardiovascular surgical procedures | - |
dc.subject.keyword | descending | - |
dc.subject.keyword | endovascular procedures | - |
dc.subject.keyword | outcome assessment | - |
dc.contributor.alternativeName | Lee, Sak | - |
dc.contributor.alternativeName | Lee, Seung Hyun | - |
dc.contributor.alternativeName | Chang, Byung Chul | - |
dc.contributor.alternativeName | Joo, Hyun Chel | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.alternativeName | Youn, Young Nam | - |
dc.contributor.affiliatedAuthor | Lee, Seung Hyun | - |
dc.contributor.affiliatedAuthor | Lee, Sak | - |
dc.contributor.affiliatedAuthor | Chang, Byung Chul | - |
dc.contributor.affiliatedAuthor | Joo, Hyun Chel | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Youn, Young Nam | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 56 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 904 | - |
dc.citation.endPage | 912 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.56(4) : 904-912, 2015 | - |
dc.identifier.rimsid | 30211 | - |
dc.type.rims | ART | - |
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