1 222

Cited 14 times in

Selective coverage of the left subclavian artery without revascularization in patients with bilateral patent vertebrobasilar junctions during thoracic endovascular aortic repair

DC FieldValueLanguage
dc.contributor.author고영국-
dc.contributor.author김만득-
dc.contributor.author원종윤-
dc.contributor.author윤영남-
dc.contributor.author이도연-
dc.contributor.author이택연-
dc.contributor.author최동훈-
dc.date.accessioned2014-12-18T08:42:13Z-
dc.date.available2014-12-18T08:42:13Z-
dc.date.issued2013-
dc.identifier.issn0741-5214-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86798-
dc.description.abstractOBJECTIVE: The primary purpose of the current study was to evaluate the safety and effectiveness of selective coverage of the left subclavian artery (LSCA) without revascularization during thoracic endovascular aortic repair (TEVAR) in patients with bilateral patent vertebrobasilar junctions. The secondary purpose was to assess morphologic change of the vertebral artery (VA) after the procedure. METHODS: Among 126 patients who underwent TEVAR between 2006 and 2011, 29 patients requiring LSCA coverage without preemptive revascularization were retrospectively analyzed in this study. The patients were a mean age of 63.1 years (range, 45-84 years). The mean follow-up period was 19.9 months (range, 1-63 months). Bilateral patent vertebrobasilar junctions were evaluated by contrast-enhanced computed tomography (CT), time-of flight magnetic resonance angiography, or conventional angiography. Neurologic complications, such as spinal cord ischemia (SCI) or cerebrovascular accidents, were analyzed. Preprocedural and postprocedural changes in VAs were evaluated on follow-up contrast-enhanced CT. RESULTS: The overall 30-day mortality was 6.9% (2 of 29). None of the patients had SCI or a stroke of posterior circulation alone. Cerebrovascular accidents from embolic infarctions occurred in two patients (7.4%). Transient left arm ischemic symptoms were present in five patients (18.5%), but none required secondary interventions. Delayed development of type I endoleak occurred due to stent deformity in one patient, who underwent surgery. One patient required reintervention after the 10-month follow-up contrast-enhanced CT showed a pseudoaneurysm had developed at the distal margin of the previously placed stent graft. Hypertrophy of the right VA after TEVAR was seen in seven of 27 patients (25.9%); two patients showed bilateral hypertrophy of VAs. CONCLUSIONS: LSCA coverage without revascularization can be safely performed during TEVAR in patients with bilateral patent vertebrobasilar junctions. Hypertrophy of the right VA was noted in 25.9% of patients after LSCA coverage.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJournal of Vascular Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAorta, Thoracic/diagnostic imaging-
dc.subject.MESHAorta, Thoracic/physiopathology-
dc.subject.MESHAorta, Thoracic/surgery*-
dc.subject.MESHAortic Diseases/diagnostic imaging-
dc.subject.MESHAortic Diseases/mortality-
dc.subject.MESHAortic Diseases/physiopathology-
dc.subject.MESHAortic Diseases/surgery*-
dc.subject.MESHAortography/methods-
dc.subject.MESHBlood Vessel Prosthesis-
dc.subject.MESHBlood Vessel Prosthesis Implantation*/adverse effects-
dc.subject.MESHBlood Vessel Prosthesis Implantation*/instrumentation-
dc.subject.MESHBlood Vessel Prosthesis Implantation*/mortality-
dc.subject.MESHEndovascular Procedures*/adverse effects-
dc.subject.MESHEndovascular Procedures*/instrumentation-
dc.subject.MESHEndovascular Procedures*/mortality-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMagnetic Resonance Angiography-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Complications/physiopathology-
dc.subject.MESHPostoperative Complications/therapy-
dc.subject.MESHProsthesis Design-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStents-
dc.subject.MESHSubclavian Artery/diagnostic imaging-
dc.subject.MESHSubclavian Artery/physiopathology-
dc.subject.MESHSubclavian Artery/surgery*-
dc.subject.MESHTime Factors-
dc.subject.MESHTomography, X-Ray Computed-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Patency*-
dc.subject.MESHVertebral Artery/diagnostic imaging-
dc.subject.MESHVertebral Artery/physiopathology*-
dc.titleSelective coverage of the left subclavian artery without revascularization in patients with bilateral patent vertebrobasilar junctions during thoracic endovascular aortic repair-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorMinwook Lee-
dc.contributor.googleauthorDo Yun Lee-
dc.contributor.googleauthorMan-Deuk Kim-
dc.contributor.googleauthorJong Yun Won-
dc.contributor.googleauthorYoung-Nam Yune-
dc.contributor.googleauthorTaek Yeon Lee-
dc.contributor.googleauthorDonghoon Choi-
dc.contributor.googleauthorYoung-Guk Ko-
dc.identifier.doi10.1016/j.jvs.2012.10.110-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00127-
dc.contributor.localIdA00420-
dc.contributor.localIdA02576-
dc.contributor.localIdA02718-
dc.contributor.localIdA03267-
dc.contributor.localIdA04053-
dc.contributor.localIdA02443-
dc.relation.journalcodeJ01924-
dc.identifier.pmid23357520-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0741521412023488-
dc.subject.keywordAged-
dc.subject.keywordAged, 80 and over-
dc.subject.keywordAorta, Thoracic/diagnostic imaging-
dc.subject.keywordAorta, Thoracic/physiopathology-
dc.subject.keywordAorta, Thoracic/surgery*-
dc.subject.keywordAortic Diseases/diagnostic imaging-
dc.subject.keywordAortic Diseases/mortality-
dc.subject.keywordAortic Diseases/physiopathology-
dc.subject.keywordAortic Diseases/surgery*-
dc.subject.keywordAortography/methods-
dc.subject.keywordBlood Vessel Prosthesis-
dc.subject.keywordBlood Vessel Prosthesis Implantation*/adverse effects-
dc.subject.keywordBlood Vessel Prosthesis Implantation*/instrumentation-
dc.subject.keywordBlood Vessel Prosthesis Implantation*/mortality-
dc.subject.keywordEndovascular Procedures*/adverse effects-
dc.subject.keywordEndovascular Procedures*/instrumentation-
dc.subject.keywordEndovascular Procedures*/mortality-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordMagnetic Resonance Angiography-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordPostoperative Complications/physiopathology-
dc.subject.keywordPostoperative Complications/therapy-
dc.subject.keywordProsthesis Design-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordStents-
dc.subject.keywordSubclavian Artery/diagnostic imaging-
dc.subject.keywordSubclavian Artery/physiopathology-
dc.subject.keywordSubclavian Artery/surgery*-
dc.subject.keywordTime Factors-
dc.subject.keywordTomography, X-Ray Computed-
dc.subject.keywordTreatment Outcome-
dc.subject.keywordVascular Patency*-
dc.subject.keywordVertebral Artery/diagnostic imaging-
dc.subject.keywordVertebral Artery/physiopathology*-
dc.contributor.alternativeNameKo, Young Guk-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.alternativeNameWon, Jong Yun-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameLee, Do Yun-
dc.contributor.alternativeNameLee, Taek Yeon-
dc.contributor.alternativeNameChoi, Dong Hoon-
dc.contributor.affiliatedAuthorKo, Young Guk-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.contributor.affiliatedAuthorLee, Do Yun-
dc.contributor.affiliatedAuthorLee, Taek Yeon-
dc.contributor.affiliatedAuthorChoi, Dong Hoon-
dc.contributor.affiliatedAuthorWon, Jong Yun-
dc.rights.accessRightsnot free-
dc.citation.volume57-
dc.citation.number5-
dc.citation.startPage1311-
dc.citation.endPage1316-
dc.identifier.bibliographicCitationJournal of Vascular Surgery, Vol.57(5) : 1311-1316, 2013-
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

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.