Cited 84 times in
Elective Endovascular Treatment of Descending Thoracic Aortic Aneurysms and Chronic Dissections with Stent-Grafts
DC Field | Value | Language |
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dc.contributor.author | 권혁문 | - |
dc.contributor.author | 원정윤 | - |
dc.contributor.author | 이도연 | - |
dc.contributor.author | 원종윤 | - |
dc.date.accessioned | 2016-02-19T11:13:28Z | - |
dc.date.available | 2016-02-19T11:13:28Z | - |
dc.date.issued | 2001 | - |
dc.identifier.issn | 1051-0443 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/142671 | - |
dc.description.abstract | PURPOSE: To report our experience of endovascular stent-graft placement in patients with descending thoracic aortic dissections and aneurysms and to evaluate the feasibility, safety, and clinical outcomes of the treatment. MATERIALS AND METHODS: Stent-grafts were placed in the descending thoracic aortas of 23 patients with saccular aneurysms (n = 11) and Stanford type B chronic aortic dissections of the descending thoracic and abdominal aorta (n = 12). All stent-grafts were individually constructed of self-expandable stainless steel stents covered with polytetrafluoroethylene. Vascular access was achieved through the femoral artery in all patients. Clinical status of each patient was monitored and postoperative CT was performed within 1 month of the procedure and at 3-12-month intervals after the procedures. RESULTS: Successful exclusion of the primary entry tears of dissections and the inlets of saccular aneurysms was achieved in all but two patients with aortic dissection. The overall technical success rate was 91.3% (dissection: 10 of 12 = 83%; aneurysm: 11 of 11 = 100%). All patients in whom technical success was achieved showed complete thrombosis and significant decrease in diameter of the thoracic false lumen (preoperative: 5.3 cm +/- 0.9; postoperative: 4.3 cm +/- 0.9; P = .004) or aneurysm sac (preoperative: 5.3 cm +/- 1.7; postoperative: 2.8 cm +/- 2.5; P = .001). In addition, five patients demonstrated complete resolution of the dissected thoracic false lumen (n = 2) and aneurysm sac (n = 3). However, in all patients with aortic dissection, the abdominal aorta was not significantly changed in size (P = .302) and shape and their false lumen flows remained persistent. Immediate postoperative complications were detected in 12 patients (52%); 10 had fever, leukocytosis, and elevation of C-reactive protein, another had wound infection, and another had transient abdominal pain. Three patients died 2, 3, and 12 months after the procedure: one from septic shock, another from underlying mediastinitis, and the other from an unexplained cause. The remaining 20 patients were well after the procedure (1-9 days; mean, 3 days), without any stent-graft-related complications or discomfort (follow up period: 10-65 mo; mean: 25.1 mo +/- 15.6). The cumulative survival rate after the stent graft was 100% at 30 days and 91% at 12 months. CONCLUSIONS: For treatment of aortic dissection and saccular aneurysm of the descending thoracic aorta, endovascular stent-graft repair may be a technically feasible and effective treatment modality. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 575~582 | - |
dc.relation.isPartOf | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | - |
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 | Aneurysm, Dissecting/mortality | - |
dc.subject.MESH | Aneurysm, Dissecting/surgery* | - |
dc.subject.MESH | Angiography, Digital Subtraction | - |
dc.subject.MESH | Aortic Aneurysm, Thoracic/mortality | - |
dc.subject.MESH | Aortic Aneurysm, Thoracic/surgery* | - |
dc.subject.MESH | Aortography | - |
dc.subject.MESH | Blood Vessel Prosthesis* | - |
dc.subject.MESH | Chronic Disease | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Femoral Artery/surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Postoperative Complications | - |
dc.subject.MESH | Stents* | - |
dc.subject.MESH | Tomography, X-Ray Computed | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Elective Endovascular Treatment of Descending Thoracic Aortic Aneurysms and Chronic Dissections with Stent-Grafts | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Jong Yun Won | - |
dc.contributor.googleauthor | Do Yun Lee | - |
dc.contributor.googleauthor | Won Heum Shim | - |
dc.contributor.googleauthor | Byung-Chul Chang | - |
dc.contributor.googleauthor | Sung Il Park | - |
dc.contributor.googleauthor | Chi Soon Yoon | - |
dc.contributor.googleauthor | Hyuck Moon Kwon | - |
dc.contributor.googleauthor | Byung Ho Park | - |
dc.contributor.googleauthor | Gyoo Sik Jung | - |
dc.identifier.doi | 10.1016/S1051-0443(07)61478-X | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00260 | - |
dc.contributor.localId | A02718 | - |
dc.contributor.localId | A02443 | - |
dc.relation.journalcode | J01922 | - |
dc.identifier.eissn | 1535-7732 | - |
dc.identifier.pmid | 11340135 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S105104430761478X?np=y | - |
dc.subject.keyword | Aorta, aneurysm | - |
dc.subject.keyword | Aorta, dissection | - |
dc.subject.keyword | Aorta, grafts and prostheses | - |
dc.contributor.alternativeName | Kwon, Hyuck Moon | - |
dc.contributor.alternativeName | Won, Jong Yun | - |
dc.contributor.alternativeName | Lee, Do Yun | - |
dc.contributor.affiliatedAuthor | Kwon, Hyuck Moon | - |
dc.contributor.affiliatedAuthor | Lee, Do Yun | - |
dc.contributor.affiliatedAuthor | Won, Jong Yun | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 12 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 575 | - |
dc.citation.endPage | 582 | - |
dc.identifier.bibliographicCitation | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.12(5) : 575-582, 2001 | - |
dc.identifier.rimsid | 29757 | - |
dc.type.rims | ART | - |
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