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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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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. |
format | Online Article Text |
id | pubmed-7068526 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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