| アイテムタイプ |
itemtype_ver1(1) |
| 公開日 |
2024-09-09 |
| タイトル |
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|
タイトル |
Midterm results of aortic arch replacement with frozen elephant trunk for chronic dissecting aortic aneurysm involving the aortic arch |
|
言語 |
en |
| 著者 |
Nakata, Shunsuke
Mutsuga, Masato
Narita, Yuji
Tokuda, Yoshiyuki
Terazawa, Sachie
Yoshizumi, Tomo
Ito, Hideki
Emoto, Ryo
Matsui, Shigeyuki
Usui, Akihiko
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| アクセス権 |
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|
アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利 |
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|
権利情報Resource |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
権利情報 |
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International |
|
言語 |
en |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
chronic aortic dissection |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
open stent graft |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
stent induced new entry |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
aortic events |
| 内容記述 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
We performed total aortic arch replacement (TAR) with a frozen elephant trunk (FET) for chronic dissecting aortic aneurysm (DAA) involving the aortic arch as the initial surgery and carefully observed these aortic findings with periodic computed tomography (CT) follow-up. Additional surgical interventions were considered when aortic events were observed. Midterm outcomes were evaluated to clarify the feasibility of this strategy. Thirty-seven patients underwent TAR with FET between 2014 and 2020. The median follow-up period was 48.6 months. There was 1 case of operative mortality (2.7%) and 11 late deaths, including five aortic-related deaths. Aortic events occurred in 26 patients (72.2%), including 14 cases of stent-induced new entry (SINE), eight cases of aneurysmal enlargement, two cases of graft infection, and one each of additional aortic dissection and aortic root enlargement. Thirty-one procedures were performed, including 14 open surgeries, 16 thoracic endovascular aortic repairs (TEVAR), and 1 endovascular aortic repair (EVAR) with coil embolization. The freedom rate from aortic events was 36.9% at three years and 22.8% at five years. The distal aortic arch showed significant shrinking (slope, –1.96; P<0.001), but the lower descending aorta showed significant enlargement (slope, 0.87; P<0.001). The diameter of the middle descending aorta was a predictor of SINE (>40.5 mm) and aneurysm enlargement (>40.2 mm). The present study showed acceptable early outcomes but frequent aortic events during follow-up. Cautious periodic CT is mandatory to perform additional reinterventions at the proper time, and scheduled surgical intervention, including TEVAR, is essential for cases with enlarged middle descending aortas. |
|
言語 |
en |
| 出版者 |
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|
出版者 |
Nagoya University Graduate School of Medicine, School of Medicine |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプresource |
http://purl.org/coar/resource_type/c_6501 |
|
タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| ID登録 |
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|
ID登録 |
10.18999/nagjms.87.3.558 |
|
ID登録タイプ |
JaLC |
| 関連情報 |
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|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
URI |
|
|
関連識別子 |
https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/873.html |
| 収録物識別子 |
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|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0027-7622 |
| 収録物識別子 |
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|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2186-3326 |
| 書誌情報 |
en : Nagoya Journal of Medical Science
巻 87,
号 3,
p. 558-572,
発行日 2025-08
|
16_Nakata.pdf (1.3 MB)
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