| Long-term results of the open stent-grafting technique for extended aortic arch disease. | |
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MedLine Citation:
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PMID: 18544367 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This report elucidates the long-term safety and effectiveness of extended aortic arch replacement with an open stent-grafting technique from our 12 years of experience. METHODS: From 1994 to 2004, 126 patients (mean age 67.8 years) with different pathologic conditions of the aortic arch with extension to the descending aorta (57 dissections [acute/chronic = 31/26] and 69 aneurysms) were operated on with an open stent-grafting technique. During deep hypothermic circulatory arrest with selective cerebral perfusion, the stent graft was delivered through the transected proximal aortic arch, and arch replacement with a 4-branched prosthesis was performed. RESULTS: Operative mortality within 30 days was 3.2%. Perioperative morbidity included 7 (5.6%) strokes and 8 (6.3%) spinal injuries (paraplegia in 3, transient paraparesis in 5). Sixty-three percent of the patients were extubated within 24 hours. In long-term follow-up (mean 60.4 +/- 36.5 months, maximum 153 months), survival was 81.1%, 63.3%, and 53.7% at 1, 5, and 8 years. Five (3.9%) late endoleaks were observed but treated with successful additional endovascular repair. Freedom from endoleaks was 98.0%, 91.1%, and 91.1% for 1, 5, and 8 years, respectively. CONCLUSION: Long-term observation showed safety and good durability of the open stent-grafting technique for aortic arch disease. This technique could be an attractive treatment option for aortic arch aneurysm with distal extension and aortic dissection requiring aortic arch replacement. |
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Authors:
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Kazuo Shimamura; Toru Kuratani; Goro Matsumiya; Masaaki Kato; Yukitoshi Shirakawa; Hiroshi Takano; Noriyuki Ohta; Yoshiki Sawa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of thoracic and cardiovascular surgery Volume: 135 ISSN: 1097-685X ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-11 Completed Date: 2008-07-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1261-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aneurysm, Dissecting / mortality, radiography, surgery* Angiography / methods Angioplasty / methods*, mortality Aorta, Thoracic / physiopathology, surgery* Aortic Aneurysm, Thoracic / mortality, radiography, surgery* Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation / methods*, mortality Cohort Studies Echocardiography, Doppler Female Follow-Up Studies Humans Male Middle Aged Postoperative Complications / mortality Prosthesis Design Prosthesis Failure Retrospective Studies Risk Assessment Severity of Illness Index Sternum / surgery Survival Analysis Thoracotomy / methods* Time Factors Tomography, X-Ray Computed / methods Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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