| Elective Matsui-Kitamura stent graft repair for descending thoracic aortic aneurysm and chronic type-B aortic dissection. | |
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MedLine Citation:
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PMID: 20680901 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The position of thoracic endovascular aortic repair (TEVAR) compared to open surgery of the thoracic aorta has changed. This study evaluates outcomes after TEVAR performed electively using our original Matsui-Kitamura stent graft (MKSG) to treat descending thoracic aortic aneurysms (dTAA) and chronic type-B aortic dissection (type-B AD), and elucidates the risk factors for postoperative spinal cord ischemia (SCI). METHODS: TEVAR was performed using an MKSG in 66 patients (age: 70.8+/-9.2 years). The underlying etiology was atherosclerotic change in 39 patients, chronic type-B aortic dissection in 23 patients, and other in 4 patients. RESULTS: No perioperative deaths occurred. Three patients showed temporary paralysis due to postoperative SCI. Abdominal aortic aneurysm (AAA) surgery was a risk factor for postoperative SCI (P=0.04). The 5-year survival rate was 81.2%. CONCLUSION: The present study demonstrated that TEVAR of patients with dTAA and chronic type-B AD using an MKSG can be performed with high technical success rates and low rates of severe acute complications. AAA surgery was a risk factor for postoperative SCI. |
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Authors:
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H Ohtake; J Sanada; K Kimura; O Matsui; G Watanabe |
Publication Detail:
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Type: Journal Article Date: 2010-08-02 |
Journal Detail:
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Title: The Thoracic and cardiovascular surgeon Volume: 58 ISSN: 1439-1902 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-03 Completed Date: 2010-11-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 265-70 Citation Subset: IM |
Copyright Information:
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Copyright (c) Georg Thieme Verlag KG Stuttgart-New York. |
Affiliation:
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General & Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan. ohtake@med.kanazawa-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, Dissecting / mortality, surgery* Aortic Aneurysm, Thoracic / mortality, surgery* Blood Vessel Prosthesis* Blood Vessel Prosthesis Implantation / adverse effects, instrumentation*, mortality Chronic Disease Disease-Free Survival Female Humans Japan Kaplan-Meier Estimate Logistic Models Male Middle Aged Paralysis / etiology Prosthesis Design Retrospective Studies Risk Assessment Risk Factors Spinal Cord Ischemia / etiology Stents* Surgical Procedures, Elective Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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