Cargando…

Midterm Results of Thoracic Endovascular Aortic Repair with Reentry Closure for Chronic Type B Aortic Dissection with Aneurysmal Dilatation

Objectives: This study aims to discuss the midterm results of thoracic endovascular aortic repair (TEVAR) with reentry closure for chronic type B aortic dissection (CTBAD). Materials and Methods: This retrospective study analyzed 13 patients with CTBAD who underwent TEVAR with reentry closure betwee...

Descripción completa

Detalles Bibliográficos
Autores principales: Chiba, Kiyoshi, Nishimaki, Hiroshi, Ogawa, Yukihisa, Tomita, Masahiro, Nakamura, Ryuji, Kinebuchi, Satoshi, Kita, Shota, Komagamine, Masahide, Nawata, Kan, Chikada, Masahide, Miyairi, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816023/
https://www.ncbi.nlm.nih.gov/pubmed/36644254
http://dx.doi.org/10.3400/avd.oa.22-00065
_version_ 1784864436167639040
author Chiba, Kiyoshi
Nishimaki, Hiroshi
Ogawa, Yukihisa
Tomita, Masahiro
Nakamura, Ryuji
Kinebuchi, Satoshi
Kita, Shota
Komagamine, Masahide
Nawata, Kan
Chikada, Masahide
Miyairi, Takeshi
author_facet Chiba, Kiyoshi
Nishimaki, Hiroshi
Ogawa, Yukihisa
Tomita, Masahiro
Nakamura, Ryuji
Kinebuchi, Satoshi
Kita, Shota
Komagamine, Masahide
Nawata, Kan
Chikada, Masahide
Miyairi, Takeshi
author_sort Chiba, Kiyoshi
collection PubMed
description Objectives: This study aims to discuss the midterm results of thoracic endovascular aortic repair (TEVAR) with reentry closure for chronic type B aortic dissection (CTBAD). Materials and Methods: This retrospective study analyzed 13 patients with CTBAD who underwent TEVAR with reentry closure between July 2014 and December 2020. We evaluated the false lumen (FL) cross-sectional area using computed tomography images of the descending aorta at the level of the bronchial bifurcation, Valsalva sinus, celiac artery, and infrarenal abdominal aorta pre- and postoperation. The study endpoints were technical and clinical success rates, freedom from additional aortic reintervention or surgery, and survival. Results: Technical success was obtained in 12 patients (92.3%) with no hospital mortality and neurological complications. The postoperative observation period was 49.2±21.5 months. The clinical success rate was 76.9% (10 cases), and a postoperative reduction of the FL cross-sectional area was obtained in 53.8% of patients. The 5-year overall survival rate was 64.8% with no aortic-related deaths while the 5-year freedom from additional aortic surgery rate was 66.7%. Conclusions: TEVAR with reentry closure suggests preventing FL dilatation or rupture in CTBAD, but the revision of our devices and further research with more patients and longer follow-up periods are required.
format Online
Article
Text
id pubmed-9816023
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
record_format MEDLINE/PubMed
spelling pubmed-98160232023-01-12 Midterm Results of Thoracic Endovascular Aortic Repair with Reentry Closure for Chronic Type B Aortic Dissection with Aneurysmal Dilatation Chiba, Kiyoshi Nishimaki, Hiroshi Ogawa, Yukihisa Tomita, Masahiro Nakamura, Ryuji Kinebuchi, Satoshi Kita, Shota Komagamine, Masahide Nawata, Kan Chikada, Masahide Miyairi, Takeshi Ann Vasc Dis Original Article Objectives: This study aims to discuss the midterm results of thoracic endovascular aortic repair (TEVAR) with reentry closure for chronic type B aortic dissection (CTBAD). Materials and Methods: This retrospective study analyzed 13 patients with CTBAD who underwent TEVAR with reentry closure between July 2014 and December 2020. We evaluated the false lumen (FL) cross-sectional area using computed tomography images of the descending aorta at the level of the bronchial bifurcation, Valsalva sinus, celiac artery, and infrarenal abdominal aorta pre- and postoperation. The study endpoints were technical and clinical success rates, freedom from additional aortic reintervention or surgery, and survival. Results: Technical success was obtained in 12 patients (92.3%) with no hospital mortality and neurological complications. The postoperative observation period was 49.2±21.5 months. The clinical success rate was 76.9% (10 cases), and a postoperative reduction of the FL cross-sectional area was obtained in 53.8% of patients. The 5-year overall survival rate was 64.8% with no aortic-related deaths while the 5-year freedom from additional aortic surgery rate was 66.7%. Conclusions: TEVAR with reentry closure suggests preventing FL dilatation or rupture in CTBAD, but the revision of our devices and further research with more patients and longer follow-up periods are required. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2022-12-25 /pmc/articles/PMC9816023/ /pubmed/36644254 http://dx.doi.org/10.3400/avd.oa.22-00065 Text en © 2022 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by/2.5/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
Chiba, Kiyoshi
Nishimaki, Hiroshi
Ogawa, Yukihisa
Tomita, Masahiro
Nakamura, Ryuji
Kinebuchi, Satoshi
Kita, Shota
Komagamine, Masahide
Nawata, Kan
Chikada, Masahide
Miyairi, Takeshi
Midterm Results of Thoracic Endovascular Aortic Repair with Reentry Closure for Chronic Type B Aortic Dissection with Aneurysmal Dilatation
title Midterm Results of Thoracic Endovascular Aortic Repair with Reentry Closure for Chronic Type B Aortic Dissection with Aneurysmal Dilatation
title_full Midterm Results of Thoracic Endovascular Aortic Repair with Reentry Closure for Chronic Type B Aortic Dissection with Aneurysmal Dilatation
title_fullStr Midterm Results of Thoracic Endovascular Aortic Repair with Reentry Closure for Chronic Type B Aortic Dissection with Aneurysmal Dilatation
title_full_unstemmed Midterm Results of Thoracic Endovascular Aortic Repair with Reentry Closure for Chronic Type B Aortic Dissection with Aneurysmal Dilatation
title_short Midterm Results of Thoracic Endovascular Aortic Repair with Reentry Closure for Chronic Type B Aortic Dissection with Aneurysmal Dilatation
title_sort midterm results of thoracic endovascular aortic repair with reentry closure for chronic type b aortic dissection with aneurysmal dilatation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816023/
https://www.ncbi.nlm.nih.gov/pubmed/36644254
http://dx.doi.org/10.3400/avd.oa.22-00065
work_keys_str_mv AT chibakiyoshi midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT nishimakihiroshi midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT ogawayukihisa midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT tomitamasahiro midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT nakamuraryuji midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT kinebuchisatoshi midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT kitashota midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT komagaminemasahide midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT nawatakan midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT chikadamasahide midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation
AT miyairitakeshi midtermresultsofthoracicendovascularaorticrepairwithreentryclosureforchronictypebaorticdissectionwithaneurysmaldilatation