Aortic Remodeling and Clinical Outcomes in Type B Aortic Dissection According to the Timing of Thoracic Endovascular Aortic Repair
DC Field | Value | Language |
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dc.contributor.author | Lee S.-J. | - |
dc.contributor.author | Kang W.C. | - |
dc.contributor.author | Ko Y.-G. | - |
dc.contributor.author | Woo Y. | - |
dc.contributor.author | Ahn C.-M. | - |
dc.contributor.author | Won J.Y. | - |
dc.contributor.author | Lee D.-Y. | - |
dc.contributor.author | Hong S.-J. | - |
dc.contributor.author | Kim J.-S. | - |
dc.contributor.author | Kim B.-K. | - |
dc.contributor.author | Choi D. | - |
dc.contributor.author | Hong M.-K. | - |
dc.contributor.author | Jang Y. | - |
dc.date.available | 2020-10-20T01:03:30Z | - |
dc.date.created | 2020-05-06 | - |
dc.date.issued | 2020-08 | - |
dc.identifier.issn | 0890-5096 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/78423 | - |
dc.description.abstract | Background: The objective of the study was to investigate aortic remodeling and clinical outcomes after thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (AD) according to timing of the procedure. Methods: A total of 87 patients with type B AD who underwent TEVAR at 2 centers were included in this retrospective analysis. Patients were divided into acute/subacute (≤6 weeks, n = 35), early chronic (6 weeks to 1 year, n = 20), and late chronic (>1 year, n = 32) groups according to the timing of TEVAR after symptom onset. Changes in aorta dimensions on serial computed tomography angiograms and clinical outcomes were evaluated. Results: AD complications were the most common indication for TEVAR in the acute/subacute group, whereas aortic expansion was the main reason in the early and late chronic groups. Maximum total aorta diameter (46.6 ± 10.6 vs. 54.8 ± 9.8 vs. 56.7 ± 10.1 mm, P < 0.001) and false lumen diameter (30.9 ± 11.0 vs. 35.2 ± 12.0 vs. 39.9 ± 13.4 mm, P = 0.013) were smaller in the acute/subacute group than in the early and late chronic groups. At 1-year follow-up, maximum total aorta diameter was decreased in the acute/subacute and early chronic groups and increased in the late chronic group (−4.3 ± 9.3 vs. −5.2 ± 6.9 vs. 2.5 ± 4.6 mm, P < 0.001). Survival free from the major adverse aortic event (death, aortic rupture, or reintervention) at 5 years after TEVAR was lowest in the late chronic group (92.6% vs. 88.2% vs. 73.1%, P = 0.033) but not significantly different between the acute/subacute and early chronic groups (P = 0.680). Conclusions: TEVAR in the acute/subacute and early chronic phases of type B AD resulted in similar aortic remodeling and clinical outcomes, which were more favorable than those with TEVAR performed during late chronic AD. This finding suggests 1 year after the onset of type B AD symptoms as the upper time threshold for TEVAR to achieve optimal aortic remodeling and safety. © 2020 Elsevier Inc. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Elsevier Inc. | - |
dc.relation.isPartOf | Annals of Vascular Surgery | - |
dc.title | Aortic Remodeling and Clinical Outcomes in Type B Aortic Dissection According to the Timing of Thoracic Endovascular Aortic Repair | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000571131000041 | - |
dc.identifier.doi | 10.1016/j.avsg.2020.03.022 | - |
dc.identifier.bibliographicCitation | Annals of Vascular Surgery, v.67, pp.322 - 331 | - |
dc.identifier.scopusid | 2-s2.0-85083780805 | - |
dc.citation.endPage | 331 | - |
dc.citation.startPage | 322 | - |
dc.citation.title | Annals of Vascular Surgery | - |
dc.citation.volume | 67 | - |
dc.contributor.affiliatedAuthor | Kang W.C. | - |
dc.type.docType | Article | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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