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Treatment of Thoracic Aortic Dissection With Stent-Grafts: Midterm Results.
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 장병철 | - |
dc.contributor.author | 장양수 | - |
dc.contributor.author | 최동훈 | - |
dc.date.accessioned | 2016-05-16T11:14:18Z | - |
dc.date.available | 2016-05-16T11:14:18Z | - |
dc.date.issued | 2002 | - |
dc.identifier.issn | 1526-6028 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/144101 | - |
dc.description.abstract | Purpose: To evaluate the early and midterm outcomes after stent-graft implantation for dissection in the descending thoracic aorta. Methods: Sixteen custom-made endovascular stent-grafts were implanted in 15 patients (10 men; mean age 55.9 ± 13.7 years, range 32–82) with descending thoracic aortic dissection. Indications for stent-graft implantation were persistent symptoms unresponsive to medical treatment or progressive enlargement of the false lumen. Clinical and imaging surveillance with computed tomography was performed within 1 month of the procedure and at 3 to 6-month intervals in follow-up. Results: Endovascular stent-graft implantation at the target site was successful in 14 (93%) patients; 1 device migrated, leaving the false lumen open to flow in the failed case. One (7%) patient who was treated emergently for rupture died suddenly 2 days after the procedure. Over an average follow-up of 31.5 ± 23.8 months, 1 (7%) patient died and 2 (14%) patients underwent surgical treatment due to recurrent dissection. The remaining 10 patients showed complete thrombosis of the false lumen; in 3, the false lumen completely resolved. Conclusions: Endovascular stent-graft implantation in descending thoracic aortic dissection is a feasible, safe, and effective treatment modality. However, further studies are necessary in a greater number of patients to determine if wider application of this minimally invasive procedure is justified. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 817~821 | - |
dc.relation.isPartOf | JOURNAL OF ENDOVASCULAR THERAPY | - |
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 | Aged, 80 and over | - |
dc.subject.MESH | Aneurysm, Dissecting/surgery* | - |
dc.subject.MESH | Aneurysm, False/surgery | - |
dc.subject.MESH | Aortic Aneurysm, Thoracic/surgery* | - |
dc.subject.MESH | Aortic Rupture/surgery | - |
dc.subject.MESH | Aortography | - |
dc.subject.MESH | Blood Vessel Prosthesis Implantation | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Postoperative Complications/diagnostic imaging | - |
dc.subject.MESH | Postoperative Complications/etiology | - |
dc.subject.MESH | Postoperative Complications/mortality | - |
dc.subject.MESH | Reoperation | - |
dc.subject.MESH | Stents* | - |
dc.subject.MESH | Survival Analysis | - |
dc.subject.MESH | Syndrome | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Treatment of Thoracic Aortic Dissection With Stent-Grafts: Midterm Results. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | Won Heum Shim | - |
dc.contributor.googleauthor | Bon Kwon Koo | - |
dc.contributor.googleauthor | Young Sup Yoon | - |
dc.contributor.googleauthor | Donghoon Choi | - |
dc.contributor.googleauthor | Yangsoo Jang | - |
dc.contributor.googleauthor | Do Yun Lee | - |
dc.contributor.googleauthor | Byoung Chul Chang | - |
dc.identifier.doi | 10.1177/152660280200900615 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03430 | - |
dc.contributor.localId | A03448 | - |
dc.contributor.localId | A04053 | - |
dc.relation.journalcode | J01395 | - |
dc.identifier.eissn | 1545-1550 | - |
dc.identifier.pmid | 12546583 | - |
dc.identifier.url | http://jet.sagepub.com/content/9/6/817.abstract | - |
dc.subject.keyword | thoracic aorta | - |
dc.subject.keyword | custom-made endografts | - |
dc.subject.keyword | Z-stent | - |
dc.subject.keyword | polytetrafluoroethylene graft | - |
dc.subject.keyword | intimal tear | - |
dc.subject.keyword | recurrent dissection | - |
dc.contributor.alternativeName | Chang, Byung Chul | - |
dc.contributor.alternativeName | Jang, Yang Soo | - |
dc.contributor.alternativeName | Choi, Dong Hoon | - |
dc.contributor.affiliatedAuthor | Chang, Byung Chul | - |
dc.contributor.affiliatedAuthor | Jang, Yang Soo | - |
dc.contributor.affiliatedAuthor | Choi, Dong Hoon | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 9 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 817 | - |
dc.citation.endPage | 821 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ENDOVASCULAR THERAPY, Vol.9(6) : 817-821, 2002 | - |
dc.identifier.rimsid | 55586 | - |
dc.type.rims | ART | - |
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