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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Early and Late Outcomes of Thoracic Aortic Surgery in Hemodialysis Patients

http://hdl.handle.net/2237/25734
http://hdl.handle.net/2237/25734
cafe242a-4874-498a-b01b-d879098da186
名前 / ファイル ライセンス アクション
ATS-2015-525360v2-Hibino.pdf ATS-2015-525360v2-Hibino.pdf ファイル公開:2017/10/01 (101.4 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-03-21
タイトル
タイトル Early and Late Outcomes of Thoracic Aortic Surgery in Hemodialysis Patients
言語 en
著者 Hibino, Makoto

× Hibino, Makoto

WEKO 69906

en Hibino, Makoto

Search repository
Oshima, Hideki

× Oshima, Hideki

WEKO 69907

en Oshima, Hideki

Search repository
Narita, Yuji

× Narita, Yuji

WEKO 69908

en Narita, Yuji

Search repository
Abe, Tomonobu

× Abe, Tomonobu

WEKO 69909

en Abe, Tomonobu

Search repository
Mutsuga, Masato

× Mutsuga, Masato

WEKO 69910

en Mutsuga, Masato

Search repository
Fujimoto, L. Kazuro

× Fujimoto, L. Kazuro

WEKO 69911

en Fujimoto, L. Kazuro

Search repository
Tokuda, Yoshiyuki

× Tokuda, Yoshiyuki

WEKO 69912

en Tokuda, Yoshiyuki

Search repository
Terazawa, Sachie

× Terazawa, Sachie

WEKO 69913

en Terazawa, Sachie

Search repository
Ito, Hideki

× Ito, Hideki

WEKO 69914

en Ito, Hideki

Search repository
Usui, Akihiko

× Usui, Akihiko

WEKO 69915

en Usui, Akihiko

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
抄録
内容記述 Background: The number of cardiovascular surgeries among hemodialysis patients is increasing according to the growing population of hemodialysis patients; however, the clinical outcome has not yet been clarified, especially in thoracic aortic surgery. The purpose of this study was to assess the early and late outcomes of thoracic aortic surgery in hemodialysis patients. Methods: We retrospectively analyzed the outcomes of 700 consecutive open thoracic aortic surgeries from 2002 to 2014. We identified 21 patients receiving preoperative hemodialysis (group HD) and 679 patients not receiving preoperative hemodialysis (group N). The patients were predominantly male, had diabetes mellitus and cardiogenic shock, and had less hyperlipidemia and elective surgery in group HD. The early and late outcomes were compared between 21 patients in each group using a propensity-score matched analysis. Results: The hospital stay and intensive care unit stay were significantly longer in group HD even after matching. The 30-day mortality and inhospital mortality showed no significant differences, whereas the rate of postoperative pneumonia was significantly higher in group HD compared with the matched group N (p = 0.0067). The 1-year, 3-year, and 7-year survival rates in group HD were 73.4%, 45.7%, and 30.5%, respectively, which were significantly poorer than that of group N both in the prematched (p < 0.001) and matched analyses (p = 0.0027). Conclusions: Considering the various operative risks associated with hemodialysis patients, the early mortality rate is acceptable, even after the association with many respiratory complications. Although hemodialysis patients have a compromised prognosis after surgery, excessive hesitation to perform thoracic aortic surgery may be avoided.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Elsevier
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 journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.athoracsur.2016.03.073
ISSN
収録物識別子タイプ PISSN
収録物識別子 0008-6312
書誌情報 en : The Annals of Thoracic Surgery

巻 102, 号 4, p. 1282-1288, 発行日 2016-10
著者版フラグ
値 author
URI
識別子 http://dx.doi.org/10.1016/j.athoracsur.2016.03.073
識別子タイプ DOI
URI
識別子 http://hdl.handle.net/2237/25734
識別子タイプ HDL
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