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

• Material Type: 博士論文
• Title: Efficacy and Optimal Timing of Endovascular Treatment for Type B Aortic Dissection
• Author/Editor: Kinoshita, Hajime; Fujimoto, Eiki; Arase, Hiroki; Kurobe, Hirotsugu; Chikugo, Fumio; Sogabe, Hitoshi; Kitaichi, Takashi; Kitagawa, Tetsuya
• Author Heading: Kinoshita, Hajime; Fujimoto, Eiki; Arase, Hiroki; Kurobe, Hirotsugu; Chikugo, Fumio; Sogabe, Hitoshi; Kitaichi, Takashi; Kitagawa, Tetsuya
• Publication, Distribution, etc.: The Editorial Committee of Annals of Vascular Diseases
• Publication Date: 2015-11-25
• Publication Date (W3CDTF): 2015-11-25
• Alternative Title: 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
• Periodical title: Annals of Vascular Diseases
• No. or year of volume/issue: 8 4
• Volume: 8
• Issue: 4
• Pages: 307-313
• ISSN (Periodical Title): ISSN : 1881-6428; ISSN : 1881-641X
• Degree grantor/type: 徳島大学
• Date Granted: 2016-01-28
• Dissertation Number: 甲第2896号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: type B aortic dissection; thoracic endovascular aortic repair; aortic remodeling; uncomplicated case
• Target Audience: 一般
• Note (General): 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.
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.3400/avd.oa.15-00069
• Data Provider (Database): 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
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

Table of Contents

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