Document Detail


Open surgery or stent repair for descending aortic diseases: Results and risk factor analysis.
MedLine Citation:
PMID:  18846474     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Less invasive stent graft (SG) repair was compared with open surgery for patients with descending thoracic aortic diseases. DESIGN: Thirty six patients undergoing SG repair (SG group) were matched for age, sex, location and pathology of aortic disease with a 36-patient surgical cohort (OS group), and retrospective matched case-control study was performed with respect to outcomes and risk factors for adverse outcomes. RESULTS: Mortality rate was 5.6% in OS group and none in SG group (p=0.4930), and there was no significant difference in stroke and paraplegia rates between two groups. A higher prevalence of secondary procedures due to endoleak was seen in the patients of SG group (p=0.0113). Perioperative hypotension was an independent risk factor for in-hospital mortality (p=0.0071, odds ratio=34) and preoperative renal dysfunction was independent risk factor for paraplegia (p=0.0076, odds ratio=17.6). CONCLUSIONS: Although the importance of patient selection is emphasized to prevent endoleak, mortality rate was low in patients who underwent SG repair. SG repair is a promising alternative technique to open surgery for thoracic aortic diseases.
Authors:
Kunihide Nakamura; Masakazu Matsuyama; Mitsuhiro Yano; Yoshikazu Yano; Hiroyuki Nagahama; Eisaku Nakamura; Toshio Onitsuka
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Scandinavian cardiovascular journal : SCJ     Volume:  43     ISSN:  1651-2006     ISO Abbreviation:  Scand. Cardiovasc. J.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-19     Completed Date:  2009-08-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9708377     Medline TA:  Scand Cardiovasc J     Country:  England    
Other Details:
Languages:  eng     Pagination:  201-7     Citation Subset:  IM    
Affiliation:
The Department of Surgery, University of Miyazaki, Japan. shiori@med.miyazaki-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aortic Aneurysm, Thoracic / complications,  mortality,  surgery*
Case-Control Studies
Female
Humans
Male
Middle Aged
Paraplegia / etiology
Postoperative Complications / etiology*
Prosthesis Implantation*
Retrospective Studies
Risk Assessment
Risk Factors
Stents
Stroke / etiology
Surgical Procedures, Minimally Invasive*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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