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Cited 7 times in

Endovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm

DC FieldValueLanguage
dc.contributor.author이삭-
dc.contributor.author이승현-
dc.contributor.author장병철-
dc.contributor.author주현철-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.date.accessioned2016-02-04T11:31:41Z-
dc.date.available2016-02-04T11:31:41Z-
dc.date.issued2015-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140626-
dc.description.abstractPURPOSE: 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.statementOfResponsibilityopen-
dc.format.extent904~912-
dc.relation.isPartOfYonsei Medical Journal-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleEndovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthorHyung Chae Lee-
dc.contributor.googleauthorHyun-Chel Joo-
dc.contributor.googleauthorSeung Hyun Lee-
dc.contributor.googleauthorSak Lee-
dc.contributor.googleauthorByung-Chul Chang-
dc.contributor.googleauthorKyung-Jong Yoo-
dc.contributor.googleauthorYoung-Nam Youn-
dc.identifier.doi10.3349/ymj.2015.56.4.904-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02935-
dc.contributor.localIdA02807-
dc.contributor.localIdA03430-
dc.contributor.localIdA03960-
dc.contributor.localIdA02453-
dc.contributor.localIdA02576-
dc.relation.journalcodeJ02813-
dc.contributor.alternativeNameLee, Sak-
dc.contributor.alternativeNameLee, Seung Hyun-
dc.contributor.alternativeNameChang, Byung Chul-
dc.contributor.alternativeNameJoo, Hyun Chel-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.affiliatedAuthorLee, Seung Hyun-
dc.contributor.affiliatedAuthorLee, Sak-
dc.contributor.affiliatedAuthorChang, Byung Chul-
dc.contributor.affiliatedAuthorJoo, Hyun Chel-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.rights.accessRightsfree-
dc.citation.volume56-
dc.citation.number4-
dc.citation.startPage904-
dc.citation.endPage912-
dc.identifier.bibliographicCitationYonsei Medical Journal, Vol.56(4) : 904-912, 2015-
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)

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