2 343

Cited 23 times in

Prognostic factors for aorta remodeling after thoracic endovascular aortic repair of complicated chronic DeBakey IIIb aneurysms

Authors
 Suk-Won Song  ;  Tae Hoon Kim  ;  Sun-Hee Lim  ;  Kwang-Hun Lee  ;  Kyung-Jong Yoo  ;  Bum-Koo Cho 
Citation
 JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, Vol.148(3) : 925-933, 2014 
Journal Title
 JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 
ISSN
 0022-5223 
Issue Date
2014
MeSH
Adult ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/pathology ; Aorta, Thoracic/physiopathology ; Aorta, Thoracic/surgery* ; Aortic Aneurysm, Thoracic/diagnosis ; Aortic Aneurysm, Thoracic/physiopathology ; Aortic Aneurysm, Thoracic/surgery* ; Aortography/methods ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation*/adverse effects ; Blood Vessel Prosthesis Implantation*/instrumentation ; Chronic Disease ; Endovascular Procedures*/adverse effects ; Endovascular Procedures*/instrumentation ; Female ; Hemodynamics ; Humans ; Male ; Middle Aged ; Registries ; Retrospective Studies ; Risk Factors ; Stents ; Thrombosis ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome
Abstract
OBJECTIVES: The use of thoracic endovascular aortic repair (TEVAR) for chronic DeBakey III type b (CDIIIb) aneurysms is controversial. We analyzed the potential prognostic factors affecting aorta remodeling after this procedure. METHODS: A total of 20 patients with CDIIIb aneurysms underwent TEVAR, with full coverage of reentry tears at the descending thoracic aorta. The potential factors affecting false lumen (FL) remodeling were analyzed, including reentry tears (communicating channels visible on the computed tomography angiogram), large intimal tears below the stent graft (≥ 2 consecutive axial cuts on the computed tomography angiogram), visceral branches arising from the FL, and intercostal arteries (ICAs) arising from the FL. RESULTS: All the patients had uneventful in-hospital courses; 2 patients (10%) required reintervention during the follow-up period. Thirteen patients (65%) had complete thrombosis of the FL at stent graft segment. Compared with the complete thrombosis group, the partial thrombosis group had more reentry tears (1.8 vs 2.3, P = .48), large intimal tears (0.8 vs 1.7, P < .05), visceral branches arising from the FL (1.2 vs 2.3, P < .05), and ICAs arising from the FL (3.8 vs 5.1, P = .35). Reentry tears, visceral branches, and ICAs from the FL were significant negative prognostic factors for FL shrinkage (P < .05). CONCLUSIONS: Although reentry tears above the celiac trunk were fully covered, the visceral branches and ICAs from the FL and all communicating channels below the celiac trunk kept the FL pressurized and were unfavorable prognostic factors for aorta remodeling after TEVAR for CDIIIb aneurysms.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022522314005844
DOI
10.1016/j.jtcvs.2014.05.040
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Song, Suk Won(송석원) ORCID logo https://orcid.org/0000-0002-9850-9707
Yoo, Kyung Jong(유경종) ORCID logo https://orcid.org/0000-0002-9858-140X
Lee, Kwang Hun(이광훈)
Cho, Bum Koo(조범구)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99667
사서에게 알리기
  feedback

qrcode

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

Browse

Links