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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 904 - 912 (9page)
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초록· 키워드
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Purpose: To compare the outcomes of thoracic endovascular aortic repair (TEVAR) with those of open repair for descending thoracic aortic aneurysms (DTAA). Materialsand Methods: We compared the outcomes of 114 patients with DTAA and proximal landing zones 3 or 4 after TEVAR to those of 53 patients after conventionalopen repairs. Thirty-day and late mortality were the primary endpoints, and early morbidities, aneurysm-related death, and re-intervention were the secondary endpoints. Results: The TEVAR group was older and had more incidences of dissectinganeurysm. The mean follow-up was 36±26 months (follow-up rate, 97.8%). The 30-day mortality in the TEVAR and open repair groups were 3.5% and 9.4% (p=0.11). Perioperative stroke and paraplegia incidences were similar between the groups [5.3% vs. 7.5% (p=0.56) and 7.5% vs. 3.5% (p=0.26), respectively]. Respiratoryfailure occurred more in the open repair group (1.8% vs. 26.4%, p<0.01). The incidence of acute kidney injury requiring dialysis was higher in the open repair group (1.8% vs. 9.4%, p<0.01). The cumulative survival rate was higher in the TEVARgroup at 2 to 5 years (79.6% vs. 58.3%, p=0.03). The free from re-intervention was lower in the TEVAR group (65.3% vs. 100%, p=0.02), and the free from aneurysm-related death in the TEVAR and open repair groups were 88.5% and 86.1% (p=0.45). Conclusion: TEVAR is safe and effective for treating DTAAs with improvedperioperative and long-term outcomes compared with open repair.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Andrassy J / 2011 / Endovascular versus open treatment of degenerative aneurysms of the descending thoracic aorta: a single center experience / Vascular 19 : 8 ~ 14
Arnaoutakis GJ / 2007 / RIFLE criteria for acute kidney injury in aortic arch surgery / J Thorac Cardiovasc Surg 134 : 1554 ~ 1560
Brinkman WT / 2007 / Stent graft treatment for transverse arch and descending thoracic aorta aneurysms / Curr Opin Cardiol 22 : 510 ~ 516
Dake MD / 1994 / Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms / N Engl J Med 331 : 1729 ~ 1734
De Bakey ME / 1953 / Successful resection of aneurysm of thoracic aorta and replacement by graft / J Am Med Assoc 152 : 673 ~ 676
Arnaoutakis GJ / 2007 / RIFLE criteria for acute kidney injury in aortic arch surgery / J Thorac Cardiovasc Surg 134 : 1554 ~ 1560
Brinkman WT / 2007 / Stent graft treatment for transverse arch and descending thoracic aorta aneurysms / Curr Opin Cardiol 22 : 510 ~ 516
Dake MD / 1994 / Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms / N Engl J Med 331 : 1729 ~ 1734
De Bakey ME / 1953 / Successful resection of aneurysm of thoracic aorta and replacement by graft / J Am Med Assoc 152 : 673 ~ 676
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