Distal Stent Graft-Induced New Entry after Total Arch Replacement with Frozen Elephant Trunk for Aortic Dissection
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- Nomura Yoshikatsu
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Tonoki Shuto
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Kawashima Motoharu
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Fujisue Jun
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Uchino Gaku
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Miyahara Shunsuke
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Tanaka Hiroshi
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Honda Tasuku
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Mukohara Nobuhiko
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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- Murakami Hirohisa
- Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji
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<p>Objectives: Distal stent graft-induced new entry (dSINE), defined as a new tear caused by a stent graft, has been increasingly observed following total arch replacement using frozen elephant trunk (FET) for aortic dissection. We aimed to investigate the incidence and treatment of dSINE after the use of FET.</p><p>Methods: This retrospective study evaluated 70 patients who underwent total arch replacement using FET for aortic dissection between August 2014 and March 2020. They were followed up for at least 6 months postoperatively. Between-group comparisons were performed between those who did and did not develop dSINE. The risk factors for the development of dSINE and the treatment of dSINE were analyzed.</p><p>Results: dSINE occurred postoperatively in nine patients (12.9%) with a median time frame of 17.7±11.7 months. The incidence of dSINE did not differ significantly according to classification, phase of dissection, or oversizing. All patients in the dSINE group developed enlargement of the false lumen. dSINE closure was successfully achieved without complications via thoracic endovascular aortic repair (TEVAR) in all patients.</p><p>Conclusion: No independent factors predicting the development of dSINE were noted in this study. Additional TEVAR for dSINE provides good results and achieves false lumen thrombosis in the thoracic aorta, with no complications.</p>
収録刊行物
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- Annals of Vascular Diseases
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Annals of Vascular Diseases 14 (4), 362-367, 2021-12-25
Annals of Vascular Diseases 編集委員会
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詳細情報 詳細情報について
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- CRID
- 1390853487385981056
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- NII論文ID
- 130008134629
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- ISSN
- 18816428
- 1881641X
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可