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Comparison of hybrid endovascular and open surgical repair for proximal aortic arch diseases.

DC Field Value Language
dc.contributor.author고영국-
dc.contributor.author윤영남-
dc.contributor.author이도연-
dc.contributor.author최동훈-
dc.date.accessioned2017-01-19T12:59:19Z-
dc.date.available2017-01-19T12:59:19Z-
dc.date.issued2016-
dc.identifier.issn0167-5273-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/145514-
dc.description.abstractBACKGROUND: To compare the outcomes of hybrid endovascular and open surgical repair for proximal aortic arch diseases. METHODS: A total of 55 consecutive patients with aortic arch aneurysm or aortic dissection involving any of zone 0 to 1 (39 male, age 63.4 ± 14.3 years) underwent a hybrid endovascular repair (n=35) or open surgical repair (n=20) from 2006 to 2014 were analyzed retrospectively. Perioperative and late outcomes were compared. RESULTS: Baseline characteristics were similar between the two groups, except age and EuroSCORE II, which were higher in the hybrid group. Perioperative mortality or stroke was not significantly different between the two groups, however, tended to be lower in the hybrid repair group than in the open repair group (11.4% vs. 30.0%, p=0.144). Incidences of other morbidities did not differ. During follow-up, over-all survival was similar between the hybrid and the open repair was similar (87.3% vs. 79.7% at 1 year and 83.8% vs. 72.4% at 3 years; p=0.319). However, reintervention-free survival was significantly lower for hybrid repair compared with open repair (83.8% vs. 100% at 1 year and 65.7% vs. 100% at 3 years; p=0.022). CONCLUSIONS: Hybrid repair of proximal aortic disease showed comparable perioperative and late outcomes compared with open surgical repair despite a higher reintervention rate during follow-up. Therefore, hybrid repair may be considered as an acceptable treatment alternative to surgery especially in patients at high surgical risk.-
dc.description.statementOfResponsibilityrestriction-
dc.format.extent975~979-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfINTERNATIONAL JOURNAL OF CARDIOLOGY-
dc.subject.MESHAged-
dc.subject.MESHAneurysm, Dissecting/surgery*-
dc.subject.MESHAorta, Thoracic/surgery*-
dc.subject.MESHAortic Aneurysm, Thoracic/surgery*-
dc.subject.MESHBlood Vessel Prosthesis Implantation/methods*-
dc.subject.MESHEndovascular Procedures/methods*-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Complications/epidemiology-
dc.subject.MESHReoperation-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSurvival Rate/trends-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titleComparison of hybrid endovascular and open surgical repair for proximal aortic arch diseases.-
dc.typeArticle-
dc.publisher.locationNetherlands-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorWoong Chol Kang-
dc.contributor.googleauthorYoung-Guk Ko-
dc.contributor.googleauthorEak Kyun Shin-
dc.contributor.googleauthorChul-Hyun Park-
dc.contributor.googleauthorDonghoon Choi-
dc.contributor.googleauthorYoung Nam Youn-
dc.contributor.googleauthorDo Yun Lee-
dc.identifier.doi10.1016/j.ijcard.2015.11.093-
dc.contributor.localIdA00127-
dc.contributor.localIdA02576-
dc.contributor.localIdA02718-
dc.contributor.localIdA04053-
dc.relation.journalcodeJ01093-
dc.identifier.eissn1874-1754-
dc.identifier.pmid26625324-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0167527315308998-
dc.subject.keywordHybrid endovascular repair-
dc.subject.keywordOpen surgical repair-
dc.subject.keywordProximal aortic arch diseases-
dc.contributor.alternativeNameKo, Young Guk-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameLee, Do Yun-
dc.contributor.alternativeNameChoi, Dong Hoon-
dc.contributor.affiliatedAuthorKo, Young Guk-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.contributor.affiliatedAuthorLee, Do Yun-
dc.contributor.affiliatedAuthorChoi, Dong Hoon-
dc.citation.volume203-
dc.citation.number17-
dc.citation.startPage975-
dc.citation.endPage979-
dc.identifier.bibliographicCitationINTERNATIONAL JOURNAL OF CARDIOLOGY, Vol.203(17) : 975-979, 2016-
dc.date.modified2017-01-16-
dc.identifier.rimsid47370-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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