Cited 16 times in
Conventional Open Versus Hybrid Arch Repair of Aortic Arch Disease: Early and Long-Term Outcomes
DC Field | Value | Language |
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dc.contributor.author | 김정환 | - |
dc.contributor.author | 유경종 | - |
dc.contributor.author | 윤영남 | - |
dc.contributor.author | 이삭 | - |
dc.contributor.author | 이승현 | - |
dc.contributor.author | 주현철 | - |
dc.date.accessioned | 2019-12-18T01:15:58Z | - |
dc.date.available | 2019-12-18T01:15:58Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0003-4975 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/173445 | - |
dc.description.abstract | BACKGROUND: It is unclear at present whether conventional open repair or a hybrid technique is preferential in the treatment of aortic arch diseases. Our intent was to compare early and long-term outcomes of both therapeutic strategies. METHODS: Between January 2002 and December 2017, 238 patients eligible for total arch replacement (TAR; 174) or hybrid arch repair (HAR; 64) qualified for study. A retrospective analysis of clinical outcomes was undertaken, with propensity matching (48 pairs). Mean follow-up duration was 60.2 months. RESULTS: In-hospital mortality rates were 4.6% (8 of 174 patients) and 6.3% (4 of 64 patients) in the TAR and HAR groups, respectively (p = 0.739). The TAR group displayed a lower incidence of permanent stroke (2.9%, 5 of 174 patients) by comparison (HAR: 12.5%, 8 of 64 patients; p = 0.004). Overall survival rates at 5 and 10 years differed significantly by group (TAR: 87.0% ± 5.5% and 81.9% ± 4.8%, respectively; HAR: 69.5% ± 7.4% and 40.8% ± 11.1%, respectively; p = 0.003). After propensity matching, in-hospital mortality (4.2% versus 4.2%, p > 0.99) and patient morbidities showed no statistically significant group differences. For patients undergoing HAR, a tendency for permanent stroke (14.5% versus 2.1%, p = 0.070) was evident. In the TAR (versus HAR) group, 10-year overall survival (74.7% versus 42.6%, p = 0.043) and reintervention-free (93.2% versus 34.0%, p < 0.001) rates were significantly better. CONCLUSIONS: In the treatment of aortic arch diseases, HAR showed equivalent short-term outcomes compared with TAR but was limited regarding long-term outcomes beyond 5 years after the procedure. Conventional TAR remains the gold standard of therapy, and our findings suggest that the hybrid approach should be reserved for strictly selected patients with significant comorbidities. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | ANNALS OF THORACIC SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Conventional Open Versus Hybrid Arch Repair of Aortic Arch Disease: Early and Long-Term Outcomes | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) | - |
dc.contributor.googleauthor | Hyun-Chel Joo | - |
dc.contributor.googleauthor | Young-Nam Youn | - |
dc.contributor.googleauthor | Jung-Hwan Kim | - |
dc.contributor.googleauthor | Seung Hyun Lee | - |
dc.contributor.googleauthor | Sak Lee | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.identifier.doi | 10.1016/j.athoracsur.2018.10.050 | - |
dc.contributor.localId | A00905 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A02576 | - |
dc.contributor.localId | A02807 | - |
dc.contributor.localId | A02935 | - |
dc.contributor.localId | A03960 | - |
dc.relation.journalcode | J00183 | - |
dc.identifier.eissn | 1552-6259 | - |
dc.identifier.pmid | 30508531 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0003497518317107 | - |
dc.contributor.alternativeName | Kim, Jung Hwan | - |
dc.contributor.affiliatedAuthor | 김정환 | - |
dc.contributor.affiliatedAuthor | 유경종 | - |
dc.contributor.affiliatedAuthor | 윤영남 | - |
dc.contributor.affiliatedAuthor | 이삭 | - |
dc.contributor.affiliatedAuthor | 이승현 | - |
dc.contributor.affiliatedAuthor | 주현철 | - |
dc.citation.volume | 107 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1380 | - |
dc.citation.endPage | 1388 | - |
dc.identifier.bibliographicCitation | ANNALS OF THORACIC SURGERY, Vol.107(5) : 1380-1388, 2019 | - |
dc.identifier.rimsid | 64197 | - |
dc.type.rims | ART | - |
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