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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 82(4)

Which is superior, the frozen elephant trunk technique alone or the classical elephant trunk technique followed by second-stage thoracic endovascular aortic repair for extensive aortic arch repair?

https://doi.org/10.18999/nagjms.82.4.657
https://doi.org/10.18999/nagjms.82.4.657
384ca49e-c3ee-4d38-a086-063b5623cc60
名前 / ファイル ライセンス アクション
06_Mutsuga-2.pdf 06_Mutsuga-2.pdf (226.3 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2020-11-26
タイトル
タイトル Which is superior, the frozen elephant trunk technique alone or the classical elephant trunk technique followed by second-stage thoracic endovascular aortic repair for extensive aortic arch repair?
著者 Mutsuga, Masato

× Mutsuga, Masato

WEKO 102402

Mutsuga, Masato

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Banno, Hiroshi

× Banno, Hiroshi

WEKO 102403

Banno, Hiroshi

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Narita, Yuji

× Narita, Yuji

WEKO 102404

Narita, Yuji

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Komori, Kimihiro

× Komori, Kimihiro

WEKO 102405

Komori, Kimihiro

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Usui, Akihiko

× Usui, Akihiko

WEKO 102406

Usui, Akihiko

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キーワード
主題Scheme Other
主題 elephant trunk
キーワード
主題Scheme Other
主題 frozen elephant trunk
キーワード
主題Scheme Other
主題 spinal cord injury
抄録
内容記述 Paraplegia is one of the most devastating complications during extensive aortic arch repair. We retrospectively analyzed our results by comparing primary repair using the frozen elephant trunk technique (FET) and the classical elephant trunk technique (CET) followed by second-stage thoracic endovascular aortic repair (TEVAR), which has been performed since 2009.
Between March 1997 and September 2015, 91 patients (the mean age: 70 ± 8.6 years old, 73 men and 18 women) underwent total aortic arch replacement with either the FET (54 cases) or CET (37 cases). The CET was followed by second-stage TEVAR with a median duration of 36 days. The number of in-hospital deaths was 2 (3.7%) in FET and none in CET. The overall survival was 73% in FET and 83% in CET at 5 years with no significant difference (p=0.73). Aortic events occurred in 12 cases (22%) in FET and 3 (8%) in CET. The rate of freedom from aortic events was 77% in FET and 91% in CET at 5 years with no significant difference (p=0.45). Five neurologic events (9%) occurred after the FET, and 3 events (8%) occurred after the CET (p=0.85). No patients in the CET group experienced paraplegia, while the FET group showed a relatively high paraplegia rate (17%, p=0.014).The FET with primary repair for extensive aortic arch repair had an acceptable hospital mortality rate and aortic events but was associated with a high incidence of paraplegia. The CET followed by second-stage TEVAR achieved better early results with a low risk of paraplegia and may produce a favorable mid-term surgical outcome for extensive aortic arch repair.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.82.4.657
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/824.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 82, 号 4, p. 657-666, 発行日 2020-11
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