Debranching thoracic endovascular aortic repair for distal aortic arch aneurysm in elderly patients aged over 75 years old
| العنوان: | Debranching thoracic endovascular aortic repair for distal aortic arch aneurysm in elderly patients aged over 75 years old |
|---|---|
| المؤلفون: | Tomohiro Kurashiki, Yuki Otsuki, Suguru Shiraya, Takeshi Onohara, Yuichiro Kishimoto, Yoshinobu Nakamura, Hiromu Horie, Motonobu Nishimura, Shingo Harada |
| المصدر: | Journal of Cardiothoracic Surgery Journal of Cardiothoracic Surgery, Vol 15, Iss 1, Pp 1-7 (2020) Shiraya Suguru, Nakamura Yoshinobu, Harada Shingo, et al. Debranching thoracic endovascular aortic repair for distal aortic arch aneurysm in elderly patients aged over 75 years old. JOURNAL OF CARDIOTHORACIC SURGERY. 2020. 15(1). doi:10.1186/s13019-020-10 |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, Male, medicine.medical_specialty, Debranching TEVAR, Distal arch aneurysm, lcsh:Surgery, Thoracic aortic aneurysm in the elderly, lcsh:RD78.3-87.3, chemistry.chemical_compound, Blood Vessel Prosthesis Implantation, Postoperative Complications, Diabetes mellitus, medicine, Humans, Hospital Mortality, Aged, Retrospective Studies, Aged, 80 and over, Creatinine, Ejection fraction, Aortic Aneurysm, Thoracic, Cerebral infarction, business.industry, Incidence (epidemiology), Endovascular Procedures, General Medicine, Aortic arch aneurysm, lcsh:RD1-811, Cerebral Infarction, Length of Stay, medicine.disease, Progression-Free Survival, Cardiac surgery, Surgery, Aortic Aneurysm, Survival Rate, Intensive Care Units, Treatment Outcome, chemistry, Cardiothoracic surgery, lcsh:Anesthesiology, Case-Control Studies, Female, Cardiology and Cardiovascular Medicine, business, Research Article |
| الوصف: | Background We examined the outcome of debranching thoracic endovascular aortic repair (d-TEVAR) without sternotomy for distal aortic arch aneurysm in patients aged ≥75 years. Methods Patients who underwent d-TEVAR or TAR for aortic arch aneurysm between 2008 and 2015 at our hospital and aged ≥75 years were included. Age, sex, left ventricular ejection fraction, preoperative creatinine level, diabetes, cerebrovascular disease, and chronic obstructive pulmonary disease were matched using PS. Results Among 74 patients (d-TEVAR: 51, TAR: 23), 17 patients in each group were matched. No difference in surgical outcome was detected between the d-TEVAR and TAR groups, including 30-day death (0% vs. 0%), hospital death (5.8% vs. 0%: p = 0.31) and incidence of cerebral infarction (5.8% vs. 7.6%: p = 0.27) as well as the long-term outcomes of 5-year survival (92.8% vs. 74.8%: p = 0.30) and 5-year aorta-related event-free rate (88.2% vs. 100%: p = 0.15). Average duration of ICU stay (1.3 ± 1.1 days vs. 5.6 ± 1.3 days: p = 0.025) and hospital stay (16.5 ± 5.2 days vs. 37.7 ± 19.6 days: p = 0.017) were significantly shorter in the d-TEVAR group. Conclusion Our results indicated that d-TEVAR is less invasive without affecting long-term outcome up to 5 years. Although the number of the patients included in the study was small, debranching TEVAR could be one of the treatments of the choice in the elderly, especially with comorbidities. |
| وصف الملف: | application/pdf |
| تدمد: | 1749-8090 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e567d6b5123adb9f56d092eecf421d18 https://pubmed.ncbi.nlm.nih.gov/31924243 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e567d6b5123adb9f56d092eecf421d18 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 17498090 |
|---|