Mid-Term Results of Thoracic Endovascular Aortic Repair for Complicated Acute Type B Aortic Dissection at a Single Centeropen accessMid-Term Results of Thoracic Endovascular Aortic Repair for Complicated Acute Type B Aortic Dissection at a Single Center
- Other Titles
- Mid-Term Results of Thoracic Endovascular Aortic Repair for Complicated Acute Type B Aortic Dissection at a Single Center
- Authors
- 홍영광; 장원호; 구동억; 오홍철; 박우영
- Issue Date
- Jun-2021
- Publisher
- Korean Society for Thoracic & Cardiovascular Surgery
- Keywords
- Aortic dissection; Ischemia; Outcomes
- Citation
- Journal of Chest Surgery, v.54, no.3, pp 172 - 178
- Pages
- 7
- Journal Title
- Journal of Chest Surgery
- Volume
- 54
- Number
- 3
- Start Page
- 172
- End Page
- 178
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/19205
- DOI
- 10.5090/jcs.20.150
- ISSN
- 2765-1614
- Abstract
- Background: Complicated acute type B aortic dissection is a life-threatening condition with high morbidity and mortality. The aim of this study was to report a single-center experience with endovascular stent-graft repair of acute type B dissection of the thoracic aorta and to evaluate the mid-term outcomes.
Methods: We reviewed 18 patients treated for complicated acute type B aortic dissec- tion by thoracic endovascular aortic repair (TEVAR) from September 2011 to July 2017. The indications for surgery included rupture, impending rupture, limb ischemia, visceral malp- erfusion, and paraplegia. The median follow-up was 34.50 months (range, 12–80 months). Results: The median interval from aortic dissection to TEVAR was 5.50 days (range, 0–32 days). There was no in-hospital mortality. All cases of malperfusion improved except for 1 patient. The morbidities included endoleak in 2 patients (11.1%), stroke in 3 patients (16.7%), pneumonia in 2 patients (11.1%), transient ischemia of the left arm in 1 patient (5.6%), and temporary visceral ischemia in 1 patient (5.6%). Postoperative computed to- mography angiography at 1 year showed complete thrombosis of the false lumen in 15 patients (83.3%).
Conclusion: TEVAR of complicated type B aortic dissection with a stent-graft was effec- tive, with a low morbidity and mortality rate.
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Collections - College of Medicine > Department of Radiology > 1. Journal Articles
- College of Medicine > Department of Cardiovascular Surgery > 1. Journal Articles
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