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Thoracic endovascular aortic repair for type B aortic dissection after renal transplantation
Thoracic endovascular repair (TEVAR) is an effective treatment for type B aortic dissection (TBAD). Here, we evaluated the early-midterm effectiveness and safety of TEVAR for treating TBAD patients after renal transplantation. Six patients with TBAD treated with TEVAR after renal transplantation wer...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Impact Journals LLC
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710952/ https://www.ncbi.nlm.nih.gov/pubmed/29207672 http://dx.doi.org/10.18632/oncotarget.21399 |
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author | Shu, Chang Xiong, QingGen Qiu, Jian Luo, MingYao Fang, Kun |
author_facet | Shu, Chang Xiong, QingGen Qiu, Jian Luo, MingYao Fang, Kun |
author_sort | Shu, Chang |
collection | PubMed |
description | Thoracic endovascular repair (TEVAR) is an effective treatment for type B aortic dissection (TBAD). Here, we evaluated the early-midterm effectiveness and safety of TEVAR for treating TBAD patients after renal transplantation. Six patients with TBAD treated with TEVAR after renal transplantation were recruited between February 2012 and December 2016. They were then followed up with clinical examinations and computed tomography angiography (CTA). TEVAR was successfully performed in all patients (100%), and the primary tear sites were well covered by stents with or without coverage of the left subclavian artery. No severe complications occurred in any patient during perioperative period. The one-year survival rate was 100%, one patient died of renal graft failure and heart failure four years after TEVAR; the remaining five patients (83.3%) survived and exhibited no severe complications. Our findings show that TEVAR provides satisfactory short-midterm results for TBAD patients after renal transplantation. Moreover, our experience shows that it need relative longer proximal landing zone to prevent the endoleak and recurrence. However, regular hematodialysis, long-term immunosuppressive therapy, and blood pressure control remain crucial factors to prolong survival. Long-term follow-up studies are needed to evaluate the long-term prognosis in these patients. |
format | Online Article Text |
id | pubmed-5710952 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Impact Journals LLC |
record_format | MEDLINE/PubMed |
spelling | pubmed-57109522017-12-04 Thoracic endovascular aortic repair for type B aortic dissection after renal transplantation Shu, Chang Xiong, QingGen Qiu, Jian Luo, MingYao Fang, Kun Oncotarget Research Paper Thoracic endovascular repair (TEVAR) is an effective treatment for type B aortic dissection (TBAD). Here, we evaluated the early-midterm effectiveness and safety of TEVAR for treating TBAD patients after renal transplantation. Six patients with TBAD treated with TEVAR after renal transplantation were recruited between February 2012 and December 2016. They were then followed up with clinical examinations and computed tomography angiography (CTA). TEVAR was successfully performed in all patients (100%), and the primary tear sites were well covered by stents with or without coverage of the left subclavian artery. No severe complications occurred in any patient during perioperative period. The one-year survival rate was 100%, one patient died of renal graft failure and heart failure four years after TEVAR; the remaining five patients (83.3%) survived and exhibited no severe complications. Our findings show that TEVAR provides satisfactory short-midterm results for TBAD patients after renal transplantation. Moreover, our experience shows that it need relative longer proximal landing zone to prevent the endoleak and recurrence. However, regular hematodialysis, long-term immunosuppressive therapy, and blood pressure control remain crucial factors to prolong survival. Long-term follow-up studies are needed to evaluate the long-term prognosis in these patients. Impact Journals LLC 2017-09-30 /pmc/articles/PMC5710952/ /pubmed/29207672 http://dx.doi.org/10.18632/oncotarget.21399 Text en Copyright: © 2017 Shu et al. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/) 3.0 (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Paper Shu, Chang Xiong, QingGen Qiu, Jian Luo, MingYao Fang, Kun Thoracic endovascular aortic repair for type B aortic dissection after renal transplantation |
title | Thoracic endovascular aortic repair for type B aortic dissection after renal transplantation |
title_full | Thoracic endovascular aortic repair for type B aortic dissection after renal transplantation |
title_fullStr | Thoracic endovascular aortic repair for type B aortic dissection after renal transplantation |
title_full_unstemmed | Thoracic endovascular aortic repair for type B aortic dissection after renal transplantation |
title_short | Thoracic endovascular aortic repair for type B aortic dissection after renal transplantation |
title_sort | thoracic endovascular aortic repair for type b aortic dissection after renal transplantation |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710952/ https://www.ncbi.nlm.nih.gov/pubmed/29207672 http://dx.doi.org/10.18632/oncotarget.21399 |
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