Endovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm
Yonsei med. j
; Yonsei med. j;: 904-912, 2015.
Article
en En
| WPRIM
| ID: wpr-40875
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: To compare the outcomes of thoracic endovascular aortic repair (TEVAR) with those of open repair for descending thoracic aortic aneurysms (DTAA). MATERIALS AND METHODS: We compared the outcomes of 114 patients with DTAA and proximal landing zones 3 or 4 after TEVAR to those of 53 patients after conventional open repairs. Thirty-day and late mortality were the primary endpoints, and early morbidities, aneurysm-related death, and re-intervention were the secondary endpoints. RESULTS: The TEVAR group was older and had more incidences of dissecting aneurysm. The mean follow-up was 36+/-26 months (follow-up rate, 97.8%). The 30-day mortality in the TEVAR and open repair groups were 3.5% and 9.4% (p=0.11). Perioperative stroke and paraplegia incidences were similar between the groups [5.3% vs. 7.5% (p=0.56) and 7.5% vs. 3.5% (p=0.26), respectively]. Respiratory failure occurred more in the open repair group (1.8% vs. 26.4%, p<0.01). The incidence of acute kidney injury requiring dialysis was higher in the open repair group (1.8% vs. 9.4%, p<0.01). The cumulative survival rate was higher in the TEVAR group at 2 to 5 years (79.6% vs. 58.3%, p=0.03). The free from re-intervention was lower in the TEVAR group (65.3% vs. 100%, p=0.02), and the free from aneurysm-related death in the TEVAR and open repair groups were 88.5% and 86.1% (p=0.45). CONCLUSION: TEVAR is safe and effective for treating DTAAs with improved perioperative and long-term outcomes compared with open repair.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Rotura de la Aorta
/
Factores de Tiempo
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Incidencia
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Tasa de Supervivencia
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Factores de Edad
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Resultado del Tratamiento
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Aneurisma de la Aorta Torácica
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Implantación de Prótesis Vascular
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Accidente Cerebrovascular
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República de Corea
Tipo de estudio:
Incidence_studies
/
Prognostic_studies
Límite:
Aged
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Female
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Humans
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Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
Yonsei med. j
Año:
2015
Tipo del documento:
Article