論文

査読有り
2020年

Mid-Term Results of Thoracic Endovascular Aneurysm Repair with Intentional Celiac Artery Coverage for Crawford Type I Thoracoabdominal Aortic Aneurysms with the TX2 Distal Component Endograft

Annals of Vascular Surgery
  • Soichiro Fukushima
  • ,
  • Takao Ohki
  • ,
  • Yuji Kanaoka
  • ,
  • Hiroki Ohta
  • ,
  • Makiko Ohmori
  • ,
  • Masamichi Momose

記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.avsg.2019.11.030

© 2019 Elsevier Inc. Background: Anatomically suitable Crawford type I (C-I) thoracoabdominal aortic aneurysm (TAAA) can be treated by thoracic endovascular aneurysm repair (TEVAR) with intentional celiac artery (CA) coverage to ensure distal seal. We report on mid-term results of TEVAR with intentional CA coverage for C-I TAAA. Methods: Between August 2010 and July 2017, we treated 16 cases of C-I TAAA by TEVAR with intentional CA coverage using the Zenith TX2 Thoracic Distal Component Endograft. The primary end point was aneurysm shrinkage. Secondary end points were technical success, aneurysm-related death (ARD), and major adverse events (MAEs) including stroke, paraplegia, visceral ischemia, endoleak, and secondary intervention. Results: The preoperative mean aneurysm size was 57.7 ± 8.0 mm. The technical success rate was 100%. There was no aneurysm-related mortality; however, one patient suffered from superior mesenteric artery embolization, which required an open laparotomy. The mean observational period was 40.5 months, and aneurysm shrinkage of >5 mm was observed in 10 cases (62.5%). At 12, 36, and 60 months after the procedure, freedom from ARD was 100%, 100%, and 100%, respectively, whereas freedom from MAE including secondary intervention was 86.7%, 86.7%, and 77.0%, respectively. Conclusions: Mid-term results of TEVAR with intentional CA coverage for C-I TAAA were acceptable.

リンク情報
DOI
https://doi.org/10.1016/j.avsg.2019.11.030
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31778761
Scopus
https://www.scopus.com/record/display.uri?eid=2-s2.0-85077657021&origin=inward
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85077657021&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85077657021&origin=inward

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