Antegrade thoracic stent grafting during repair of acute Debakey type I dissection promotes distal aortic remodeling and reduces late open distal reoperation rate
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作者:
Vallabhajosyula, Prashanth
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Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Vallabhajosyula, Prashanth
[1
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Szeto, Wilson Y.
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Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Szeto, Wilson Y.
[1
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Pulsipher, Aaron
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Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Pulsipher, Aaron
[1
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Desai, Nimesh
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Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Desai, Nimesh
[1
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Menon, Rohan
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Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Menon, Rohan
[1
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Moeller, Patrick
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Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Moeller, Patrick
[1
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Musthaq, Shenara
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Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Musthaq, Shenara
[1
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Pochettino, Alberto
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Mayo Clin, Rochester, MN USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Pochettino, Alberto
[2
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Bavaria, Joseph E.
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Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USAUniv Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
Bavaria, Joseph E.
[1
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机构:
[1] Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA
[2] Mayo Clin, Rochester, MN USA
来源:
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
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2014年
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147卷
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03期
Objective: Previously, we showed that antegrade stent grafting of the descending thoracic aorta during DeBakey type I dissection repair improves distal aortic remodeling. We assessed midterm outcomes of this reconstructive strategy compared with standard open repair. Methods: DeBakey type I dissections (non-Marfan, nontotal arch cases only) from 2005 to 2012 were retrospectively reviewed. One hundred eighty patients underwent standard open repair (standard group), and 62 patients underwent open repair plus stenting (stented group). Open repair entailed ascending aorta plus transverse hemiarch reconstruction under circulatory arrest, with variable aortic root work. Data was prospectively maintained. Results: Preoperative parameters were similar. Patients in the stented group had longer circulatory arrest time and higher utility of antegrade cerebral perfusion (P <. 001). In-hospital/30-day mortality (10% vs 14%; P = .51), stroke (5% vs 8%; P = .6), and paraplegia (0% vs 1%; P = 1) were similar in the stented versus standard groups. Mean follow-up was 2.7 +/- 2.3 and 2.2 +/- 2.1 years. Actuarial survival in stented versus standard groups at 1 and 7 years was 86% versus 81% and 76% versus 60%(P = .5). Thoracic aorta false lumen obliteration was improved in the stented group (82% vs 39%; P <. 001), along with improved freedom from open distal aortic reoperation rate (98% vs 90% at 6 years, P < .1). Endovascular distal aortic reintervention rate was higher in the stented group (18% vs 3%; P - .008), with zero mortality. Conclusions: Antegrade stent graft deployment during acute DeBakey type I dissection repair is safe method to promote distal aortic remodeling without increasing postoperative or midterm mortality. This technique provides increased freedom from open distal aortic reoperations compared with standard open repair.
机构:
Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Yoshiga, Ryosuke
Morisaki, Koichi
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Morisaki, Koichi
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Matsubara, Yutaka
Yoshiya, Keiji
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Yoshiya, Keiji
Inoue, Kentaro
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Inoue, Kentaro
Matsuda, Daisuke
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Matsuda, Daisuke
Aoyagi, Yukihiko
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Aoyagi, Yukihiko
Tanaka, Shinichi
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Tanaka, Shinichi
Okadome, Jun
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Okadome, Jun
Matsumoto, Takuya
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
Matsumoto, Takuya
Maehara, Yoshihiko
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Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, JapanKyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan
机构:
Tianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R ChinaTianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R China
Kong, Xuanzhu
Peng, Li
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Tianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R ChinaTianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R China
Peng, Li
Wu, Fengrui
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Tianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R ChinaTianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R China
Wu, Fengrui
Bi, Jiaxue
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Tianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R ChinaTianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R China
Bi, Jiaxue
Pan, Hongrui
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Tianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R ChinaTianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R China
Pan, Hongrui
Dai, Xiangchen
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Tianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R ChinaTianjin Med Univ, Dept Vasc Surg, Gen Hosp, 154 Anshan Rd, Tianjin 300052, Peoples R China