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Predictors of Outco...
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Mani, KevinUppsala universitet,Kärlkirurgi
(författare)
Predictors of Outcome after Endovascular Repair for Chronic Type B Dissection
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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Elsevier BV,2012
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-174387
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-174387URI
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https://doi.org/10.1016/j.ejvs.2012.01.016DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Objectives: To assess the durability of endovascular repair (TEVAR) in chronic type B dissection (CD) and identify factors predictive of outcome. Design: Retrospective analysis of a prospective database. Materials: Patients undergoing TEVAR for CD at a tertiary referral centre 2000-2010. Methods: Analysis of pre-operative characteristics, operative outcome, false lumen thrombosis, aortic diameter and survival. Results: 58 consecutive patients were included (49 elective, 9 urgent, mean age 66 years). Mean aortic diameter was 6.4 cm (Standard deviation SD 1.3 cm). Three patients died perioperatively (5%, 1 urgent, 2 elective). Complications included retrograde type A dissection (n = 3), paraplegia (1), and transient ischaemic attack (1). Estimated survival (Kaplan-Meier) was 89% (1-year) and 64% (3-years). Forty-seven patients had mid-term imaging follow-up at mean 38 months. Reintervention rate was 15% at 1-year and 29% at 3-years. Aortic diameter decreased in 24, was stable in 15 and increased in 8. Mid-term survival was higher in patients with aortic remodelling (reduction of aortic diameter >0.5 cm; 3-year 89%) than without (54%; Log Rank p = 0.005). Remodelling occurred with extensive false lumen thrombosis. Conclusion: Satisfactory mid-term outcome after TEVAR for CD remains a challenge. Survival is associated with aortic remodelling, which is related to persistence of flow in the false lumen.
Ämnesord och genrebeteckningar
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Aortic dissection
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Endovascular treatment
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Outcome
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Clough, R. E.
(författare)
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Lyons, O. T. A.
(författare)
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Bell, R. E.
(författare)
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Carrell, T. W.
(författare)
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Zayed, H. A.
(författare)
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Waltham, M.
(författare)
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Taylor, P. R.
(författare)
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Uppsala universitetKärlkirurgi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Journal of Vascular and Endovascular Surgery: Elsevier BV43:4, s. 386-3911078-58841532-2165
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