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Temporal pattern of aortic remodelling after endovascular treatment for chronic DeBakey IIIb dissection
DC Field | Value | Language |
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dc.contributor.author | 이광훈 | - |
dc.contributor.author | 유경종 | - |
dc.contributor.author | 송석원 | - |
dc.contributor.author | 김태훈 | - |
dc.contributor.author | 이혜선 | - |
dc.date.accessioned | 2020-09-28T11:44:33Z | - |
dc.date.available | 2020-09-28T11:44:33Z | - |
dc.date.issued | 2020-05 | - |
dc.identifier.issn | 1569-9293 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/179275 | - |
dc.description.abstract | Objectives: Endovascular treatment has emerged as a safe procedure for treating chronic DeBakey IIIb dissection. The objective of this study was to investigate the mid-term outcome and temporal pattern of aortic remodelling after endovascular treatment for DeBakey IIIb dissection. Methods: From 2012 to 2017, 85 patients who underwent endovascular aortic repair for DeBakey IIIb dissection were enrolled. The temporal pattern of aortic remodelling in terms of false lumen (FL) thrombosis [level 1 (∼T7), level 2 (T7 ∼ coeliac axis) and level 3 (coeliac trunk ∼ aortic bifurcation)] and aortic diameter [mid-thoracic level (T7), coeliac axis and the largest infrarenal abdominal aorta] was investigated on serial follow-up computed tomography scan. Results: Eighty-five patients underwent endovascular treatment during the study period. Male sex was a significant risk factor for repetitive reintervention and segments 2 and 3 FL thrombosis. The preoperative FL diameter at T7 was significantly associated with FL diameter regression. The number of visceral vessels from the FL and residual DeBakey IIIb dissection after type A repair were significant factors for FL growth at the coeliac trunk and at the largest infrarenal abdominal aorta. The overall mortality was 3 (3.6%). Conclusions: Endovascular treatment is a safe strategy in the management of DeBakey IIIb dissection. However, unfavourable aortic remodelling and repetitive reintervention were expected in male patients with a large number of visceral vessels from the FL and residual DeBakey IIIb dissection after type A repair. Endovascular treatment should be cautiously considered, and close follow-up is required for these patients. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Oxford University Press | - |
dc.relation.isPartOf | INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Temporal pattern of aortic remodelling after endovascular treatment for chronic DeBakey IIIb dissection | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Tae-Hoon Kim | - |
dc.contributor.googleauthor | Suk-Won Song | - |
dc.contributor.googleauthor | Woon Heo | - |
dc.contributor.googleauthor | Kwang-Hun Lee | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.contributor.googleauthor | Hye Sun Lee | - |
dc.contributor.googleauthor | Bum-Koo Cho | - |
dc.identifier.doi | 10.1093/icvts/ivaa070 | - |
dc.contributor.localId | A02676 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A02028 | - |
dc.contributor.localId | A04737 | - |
dc.contributor.localId | A03312 | - |
dc.relation.journalcode | J01070 | - |
dc.identifier.eissn | 1569-9285 | - |
dc.identifier.pmid | 32442253 | - |
dc.identifier.url | https://academic.oup.com/icvts/article/31/2/232/5842176 | - |
dc.subject.keyword | Chronic DeBakey IIIb | - |
dc.subject.keyword | Endovascular | - |
dc.subject.keyword | Longitudinal | - |
dc.subject.keyword | Remodelling | - |
dc.subject.keyword | Thoracic endovascular aortic repair | - |
dc.contributor.alternativeName | Lee, Kwang Hun | - |
dc.contributor.affiliatedAuthor | 이광훈 | - |
dc.contributor.affiliatedAuthor | 유경종 | - |
dc.contributor.affiliatedAuthor | 송석원 | - |
dc.contributor.affiliatedAuthor | 김태훈 | - |
dc.contributor.affiliatedAuthor | 이혜선 | - |
dc.citation.volume | 31 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 232 | - |
dc.citation.endPage | 238 | - |
dc.identifier.bibliographicCitation | INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, Vol.31(2) : 232-238, 2020-05 | - |
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