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Early and Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection

We examined the outcomes of aortic remodeling for chronic type B aortic dissection (cTBD) after thoracic endovascular aneurysm repair (TEVAR). Objective & Methods: Thirty-eight patients underwent TEVAR for cTBD at our institution. We classified cTBD patients into the early cTBD group (16 cases,...

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Autores principales: Mizoguchi, Takahiro, Zempo, Nobuya, Kaneda, Yoshikazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5835438/
https://www.ncbi.nlm.nih.gov/pubmed/29515694
http://dx.doi.org/10.3400/avd.oa.17-00078
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author Mizoguchi, Takahiro
Zempo, Nobuya
Kaneda, Yoshikazu
author_facet Mizoguchi, Takahiro
Zempo, Nobuya
Kaneda, Yoshikazu
author_sort Mizoguchi, Takahiro
collection PubMed
description We examined the outcomes of aortic remodeling for chronic type B aortic dissection (cTBD) after thoracic endovascular aneurysm repair (TEVAR). Objective & Methods: Thirty-eight patients underwent TEVAR for cTBD at our institution. We classified cTBD patients into the early cTBD group (16 cases, 2 weeks–4 months from onset) and late cTBD group (22 cases, >4 months from onset). Results: There were no cases of paraplegia, stroke, and hospital death in both groups. There was no worsening of complicated cases. We achieved false lumen thrombosis in cases with a double-barreled thoracic aorta. The early cTBD group had more complete shrinkage cases (60%) than the late cTBD group (11%). Conclusion: We obtained favorable mid-term outcomes after TEVAR for cTBD patients. Early cTBD patients obtained good aortic remodeling with TEVAR. (This is a translation of Jpn J Vasc Surg 2016; 25: 233–239.)
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spelling pubmed-58354382018-03-07 Early and Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection Mizoguchi, Takahiro Zempo, Nobuya Kaneda, Yoshikazu Ann Vasc Dis Original Article We examined the outcomes of aortic remodeling for chronic type B aortic dissection (cTBD) after thoracic endovascular aneurysm repair (TEVAR). Objective & Methods: Thirty-eight patients underwent TEVAR for cTBD at our institution. We classified cTBD patients into the early cTBD group (16 cases, 2 weeks–4 months from onset) and late cTBD group (22 cases, >4 months from onset). Results: There were no cases of paraplegia, stroke, and hospital death in both groups. There was no worsening of complicated cases. We achieved false lumen thrombosis in cases with a double-barreled thoracic aorta. The early cTBD group had more complete shrinkage cases (60%) than the late cTBD group (11%). Conclusion: We obtained favorable mid-term outcomes after TEVAR for cTBD patients. Early cTBD patients obtained good aortic remodeling with TEVAR. (This is a translation of Jpn J Vasc Surg 2016; 25: 233–239.) Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2017-12-25 /pmc/articles/PMC5835438/ /pubmed/29515694 http://dx.doi.org/10.3400/avd.oa.17-00078 Text en Copyright © 2017 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Original Article
Mizoguchi, Takahiro
Zempo, Nobuya
Kaneda, Yoshikazu
Early and Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection
title Early and Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection
title_full Early and Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection
title_fullStr Early and Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection
title_full_unstemmed Early and Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection
title_short Early and Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection
title_sort early and mid-term outcomes following tevar for chronic type b aortic dissection
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5835438/
https://www.ncbi.nlm.nih.gov/pubmed/29515694
http://dx.doi.org/10.3400/avd.oa.17-00078
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