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Early outcomes of thoracic endovascular aortic repair in treating type B aortic dissection
https://showa.repo.nii.ac.jp/records/3660
https://showa.repo.nii.ac.jp/records/366072172222-e108-4021-871b-8168b0162eea
名前 / ファイル | ライセンス | アクション |
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S33_15.pdf (574.0 kB)
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Item type | 学内発行雑誌 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2021-03-29 | |||||
タイトル | ||||||
タイトル | Early outcomes of thoracic endovascular aortic repair in treating type B aortic dissection | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ | departmental bulletin paper | |||||
著者 |
KATAOKA, Hiroshi
× KATAOKA, Hiroshi× TANAKA, Hiroyuki× HORI, Yoshiro |
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書誌情報 |
The Showa University journal of medical sciences 巻 33, 号 1, p. 15-23, 発行日 2021-03 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We evaluated the treatment results and aortic remodeling of Stanford type B aortic dissection (TBAD) following thoracic endovascular aortic repair (TEVAR) to determine the optimal timing to operate. Based on the duration from the onset of TBAD to surgery, 17 patients who underwent TEVAR for TBAD were divided into early (n=10, TEVAR<3 months from onset) and late (n=7, TEVAR≥3 months from onset) groups. True- and false-lumen areas were measured at four levels (A-D) using contrast-enhanced computed tomography before and after TEVAR: A, immediately after the left subclavian artery branching; B, descending aorta at the tracheal bifurcation; C, aortic annulus; and D, diaphragm. The durations from the onset of TBAD to TEVAR were 46±25 days and 7.0±5.3 years in the early and late groups, respectively. No major intraoperative complications were observed in either group. However, the early group had one case of retrograde type A aortic dissection 54 days after TEVAR. In the early group, true-lumen area increased at all levels, except at level A, whereas false-lumen areas decreased at all levels (p<0.05). The late group showed no tendencies, except for an increased true-lumen area at level B. A difference in early aortic remodeling was observed—true-lumen area enlargement and false-lumen area decrease were more marked in the early group than the late group. TEVAR is useful when performed early after TBAD onset (within 3 months) and results in good aortic remodeling. In the late phase, the effect might be relatively smaller. | |||||
DOI | ||||||
関連識別子 | 10.15369/sujms.33.15 | |||||
出版者 | ||||||
出版者 | Showa University Society | |||||
ISSN | ||||||
収録物識別子 | 2185-0968 | |||||
著者版フラグ | ||||||
出版タイプ | VoR |