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Elongation of the Aorta after Thoracic Endovascular Aortic Repair: A longitudinal study

Aortic morphology is associated with age, with the diameter being larger in older people. Thoracic endovascular aortic repair (TEVAR) is a treatment for aortic diseases, such as aortic dissection. When evaluating patients, aortic elongation could interfere with the classification of TEVAR complicati...

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Autores principales: Chen, Chun-Ku, Chou, Hsiao-Ping, Chang, Ying-Yueh, Shih, Chun-Che
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068526/
https://www.ncbi.nlm.nih.gov/pubmed/32069982
http://dx.doi.org/10.3390/ijerph17041205
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author Chen, Chun-Ku
Chou, Hsiao-Ping
Chang, Ying-Yueh
Shih, Chun-Che
author_facet Chen, Chun-Ku
Chou, Hsiao-Ping
Chang, Ying-Yueh
Shih, Chun-Che
author_sort Chen, Chun-Ku
collection PubMed
description Aortic morphology is associated with age, with the diameter being larger in older people. Thoracic endovascular aortic repair (TEVAR) is a treatment for aortic diseases, such as aortic dissection. When evaluating patients, aortic elongation could interfere with the classification of TEVAR complications. The longitudinal change in aortic length has not been studied in detail. In patients receiving thoracic endovascular aortic repair between 2007 and 2013, we determined the aortic length between the sinotubular junction, left common carotid artery, subclavian artery, and celiac artery on their first five annual follow-up computed tomography (CT) exams. Using the immediate post-TEVAR follow-up CT as the comparison reference and a lengthening of the aortic segment by 10 mm or more as the definition of elongation, 16 of 41 (39%) showed elongation between the innominate artery and celiac artery. When compared with the immediate follow-up CT, a higher proportion of patients showed elongation at the fifth year’s follow-up CT than the first year’s follow-up CT (p < 0.01), and the average lengthening per year was 1.7 mm. There was progressive lengthening of the aorta after TEVAR.
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spelling pubmed-70685262020-03-19 Elongation of the Aorta after Thoracic Endovascular Aortic Repair: A longitudinal study Chen, Chun-Ku Chou, Hsiao-Ping Chang, Ying-Yueh Shih, Chun-Che Int J Environ Res Public Health Article Aortic morphology is associated with age, with the diameter being larger in older people. Thoracic endovascular aortic repair (TEVAR) is a treatment for aortic diseases, such as aortic dissection. When evaluating patients, aortic elongation could interfere with the classification of TEVAR complications. The longitudinal change in aortic length has not been studied in detail. In patients receiving thoracic endovascular aortic repair between 2007 and 2013, we determined the aortic length between the sinotubular junction, left common carotid artery, subclavian artery, and celiac artery on their first five annual follow-up computed tomography (CT) exams. Using the immediate post-TEVAR follow-up CT as the comparison reference and a lengthening of the aortic segment by 10 mm or more as the definition of elongation, 16 of 41 (39%) showed elongation between the innominate artery and celiac artery. When compared with the immediate follow-up CT, a higher proportion of patients showed elongation at the fifth year’s follow-up CT than the first year’s follow-up CT (p < 0.01), and the average lengthening per year was 1.7 mm. There was progressive lengthening of the aorta after TEVAR. MDPI 2020-02-13 2020-02 /pmc/articles/PMC7068526/ /pubmed/32069982 http://dx.doi.org/10.3390/ijerph17041205 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Chun-Ku
Chou, Hsiao-Ping
Chang, Ying-Yueh
Shih, Chun-Che
Elongation of the Aorta after Thoracic Endovascular Aortic Repair: A longitudinal study
title Elongation of the Aorta after Thoracic Endovascular Aortic Repair: A longitudinal study
title_full Elongation of the Aorta after Thoracic Endovascular Aortic Repair: A longitudinal study
title_fullStr Elongation of the Aorta after Thoracic Endovascular Aortic Repair: A longitudinal study
title_full_unstemmed Elongation of the Aorta after Thoracic Endovascular Aortic Repair: A longitudinal study
title_short Elongation of the Aorta after Thoracic Endovascular Aortic Repair: A longitudinal study
title_sort elongation of the aorta after thoracic endovascular aortic repair: a longitudinal study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068526/
https://www.ncbi.nlm.nih.gov/pubmed/32069982
http://dx.doi.org/10.3390/ijerph17041205
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AT shihchunche elongationoftheaortaafterthoracicendovascularaorticrepairalongitudinalstudy