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Thoracic endovascular aortic repair for the treatment of ruptured acute type B aortic dissection
http://hdl.handle.net/10076/00018743
http://hdl.handle.net/10076/00018743bc17786f-7b11-4c56-8fc4-3493a3293d9e
名前 / ファイル | ライセンス | アクション |
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2019DM0920.pdf (677.8 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||||||||
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公開日 | 2019-12-09 | |||||||||||
タイトル | ||||||||||||
タイトル | Thoracic endovascular aortic repair for the treatment of ruptured acute type B aortic dissection | |||||||||||
言語 | en | |||||||||||
言語 | ||||||||||||
言語 | eng | |||||||||||
キーワード | ||||||||||||
主題Scheme | Other | |||||||||||
主題 | Aortic dissection | |||||||||||
キーワード | ||||||||||||
主題Scheme | Other | |||||||||||
主題 | Complication | |||||||||||
キーワード | ||||||||||||
主題Scheme | Other | |||||||||||
主題 | Rupture | |||||||||||
キーワード | ||||||||||||
主題Scheme | Other | |||||||||||
主題 | Endovascular repair | |||||||||||
キーワード | ||||||||||||
主題Scheme | Other | |||||||||||
主題 | Stent graft | |||||||||||
資源タイプ | ||||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||||
資源タイプ | doctoral thesis | |||||||||||
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 | |||||||||||
著者 |
茅野, 修二
× 茅野, 修二
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抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | Purpose:To evaluate the efficacy of thoracic endovascular aortic repair (TEVAR) for ruptured acute type B aortic dissection (r-ATBAD). Materials and methods:The study included 18 patients (15 men and 3 women) who underwent TEVAR for r-ATBAD in two institutions between 1997 and 2017. The mean patient age was 74 ± 10 years. The false lumen was patent in 13 patients (72%) and was mostly thrombosed in 5 patients (28%). Three patients had malperfusion of aortic branches. Eight patients (44%) were in circulatory shock. Results:Eleven patients (61%) died during or following TEVAR during admission. The causes of death were aortic rupture (n = 6), sepsis (n = 2), cerebral hypoxia (n = 1), pneumonia (n = 1), and renal failure (n = 1). Statistical analysis showed that dissection extending to the infrarenal level was significantly related to death from aortic rupture (P = 0.013). Early adverse events were observed in 12 patients (67%). One patient died from a non-aorta-related cause (sepsis) after discharge. The overall survival rate at 1 year was 39%. After discharge, an aorta-related adverse event (intimal injury) was observed in one patient. The adverse event-free survival rate at 1 year was 17%. Conclusions:Our results indicate that TEVAR for r-ATBAD is associated with high mortality and morbidity. More advanced strategies may be required to improve the outcome. |
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内容記述 | ||||||||||||
内容記述タイプ | Other | |||||||||||
内容記述 | 本文/Department of Radiology, Mie University Hospital, 2‑174 Edobashi, Tsu, Mie 514‑8507, Japan | |||||||||||
内容記述 | ||||||||||||
内容記述タイプ | Other | |||||||||||
内容記述 | 7p | |||||||||||
書誌情報 |
発行日 2019-09-18 |
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DOI | ||||||||||||
識別子タイプ | DOI | |||||||||||
関連識別子 | 10.1007/s11604-019-00813-7 | |||||||||||
フォーマット | ||||||||||||
内容記述タイプ | Other | |||||||||||
内容記述 | application/pdf | |||||||||||
著者版フラグ | ||||||||||||
出版タイプ | VoR | |||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
出版者 | ||||||||||||
出版者 | 三重大学 | |||||||||||
出版者(ヨミ) | ||||||||||||
値 | ミエダイガク | |||||||||||
学位名 | ||||||||||||
学位名 | 博士(医学) | |||||||||||
学位授与機関 | ||||||||||||
学位授与機関識別子Scheme | kakenhi | |||||||||||
学位授与機関識別子 | 14101 | |||||||||||
学位授与機関名 | 三重大学 | |||||||||||
学位授与年月日 | ||||||||||||
学位授与年月日 | 2019-09-18 | |||||||||||
学位授与番号 | ||||||||||||
学位授与番号 | 乙医学第1042号 | |||||||||||
ノート | ||||||||||||
値 | Japanese Journal of Radiology 2019; 37: 321-327に掲載 | |||||||||||
資源タイプ(三重大) | ||||||||||||
値 | Doctoral Dissertation / 博士論文 |