Efficacy and Optimal Timing of Endovascular Treatment for Type B Aortic Dissection

• 資料種別: 博士論文
• タイトル: Efficacy and Optimal Timing of Endovascular Treatment for Type B Aortic Dissection
• 著者・編者: Kinoshita, Hajime; Fujimoto, Eiki; Arase, Hiroki; Kurobe, Hirotsugu; Chikugo, Fumio; Sogabe, Hitoshi; Kitaichi, Takashi; Kitagawa, Tetsuya
• 著者標目: Kinoshita, Hajime; Fujimoto, Eiki; Arase, Hiroki; Kurobe, Hirotsugu; Chikugo, Fumio; Sogabe, Hitoshi; Kitaichi, Takashi; Kitagawa, Tetsuya
• 出版事項: The Editorial Committee of Annals of Vascular Diseases
• 出版年月日等: 2015-11-25
• 出版年（W3CDTF）: 2015-11-25
• 並列タイトル等: B型大動脈解離に対するステントグラフト内挿術の有効性と至適手術時期の研究; Efficacy and Optimal Timing of TEVAR for Type B-AD
• タイトル（掲載誌）: Annals of Vascular Diseases
• 巻号年月日等（掲載誌）: 8 4
• 掲載巻: 8
• 掲載号: 4
• 掲載ページ: 307-313
• ISSN（掲載誌）: ISSN : 1881-6428; ISSN : 1881-641X
• 授与機関名: 徳島大学
• 授与年月日: 2016-01-28
• 報告番号: 甲第2896号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: type B aortic dissection; thoracic endovascular aortic repair; aortic remodeling; uncomplicated case
• 対象利用者: 一般
• 一般注記: Objectives: To determine the efficacy and the optimal timing of thoracic endovascular aortic repair (TEVAR) for closing the primary entry in uncomplicated patients with chronic type B aortic dissection and a patent false lumen (FL). Methods: Thirteen patients underwent TEVAR for aortic dissection between 2008 and 2012. These patients had chronic dissection with a patent FL and expansion of the aorta. Early TEVAR was performed for five patients within 1–7 months from the index dissection (TEVAR-EC group) and delayed TEVAR was performed for eight patients within 1–16 years (TEVAR-DC group). Changes in the diameters and volumes of the true lumen (TL) and FL and the aortic remodeling were assessed by multidetector computed tomography for 3 years after TEVAR. Results: The reduction rate of FL in the thoracic aorta was notably higher in the TEVAR-EC group than in the TEVAR-DC group regardless of the presence or absence of distal retrograde flow. There was a significant TL expansion despite different timings of TEVAR. Conclusions: Early TEVAR resulted in good prognosis and preferable aortic remodeling in uncomplicated patients with chronic type B aortic dissection and a patent FL, and we recommend early TEVAR within seven months after the index dissection.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.3400/avd.oa.15-00069
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

http://repo.lib.tokushima-u.ac.jp/files/public/10/109654/20170929143147156108/LID201604261003.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/10/109654/20170929143147473772/LID201604261004.pdf fulltext