Thoracic endovascular aortic repair for the treatment of ruptured acute type B aortic dissection

• Material Type: 博士論文
• Title: Thoracic endovascular aortic repair for the treatment of ruptured acute type B aortic dissection
• Author/Editor: Chino, Shuji
• Author Heading: Chino, Shuji
• Publication, Distribution, etc.: 三重大学
• Publication Date: 2019-09-18
• Publication Date (W3CDTF): 2019-09-18
• Degree grantor/type: 三重大学
• Date Granted: 2019-09-18
• Date Granted (W3CDTF): 2019-09-18
• Dissertation Number: 乙医学第1042号
• Degree Type: 博士(医学)
• Conferring No. (Dissertation): 乙医学第1042号
• Text Language Code: eng
• Alias of Author: チノ, シュウジ; 茅野, 修二
• Subject Heading: Aortic dissection; Complication; Rupture; Endovascular repair; Stent graft
• Target Audience: 一般
• Note (General): application/pdf; 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.; 本文/Department of Radiology, Mie University Hospital, 2‑174 Edobashi, Tsu, Mie 514‑8507, Japan; 7p
• DOI: info:doi/10.1007/s11604-019-00813-7; https://doi.org/info:doi/10.1007/s11604-019-00813-7
• Persistent ID (NDL): info:ndljp/pid/11429033; https://dl.ndl.go.jp/pid/11429033
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2020-01-15T13:48:52+09:00
• Date Created (W3CDTF): 2019-12-09
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10076/00018743; https://mie-u.repo.nii.ac.jp/records/13124
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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