Mid-term results of endovascular treatment with the Gore TAG device for degenerative descending thoracic aortic aneurysms
Mid-term results of endovascular treatment with the Gore TAG device for degenerative descending thoracic aortic aneurysms
复制标题
使用戈尔 TAG 装置治疗退行性胸降主动脉瘤的中期结果
DOI：
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发表时间：
2014
影响因子：
1.2
通讯作者：
Y. Sawa
中科院分区：
文献类型：
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作者：
J. Yunoki;T. Kuratani;Y. Shirakawa;K. Torikai;K. Shimamura;K. Kin;Y. Sawa
为了证实GORE标签用于退行性降主动脉瘤修补术的有效性，我们在我们的单中心经验中评估了中期临床结果。方法2008年5月至2011年4月，36例无左锁骨下动脉(LSA)覆盖的选择性胸主动脉腔内修补术(TEVAR)治疗退行性胸主动脉瘤。结果手术成功率100%，术后30天内无死亡病例。我们没有观察到截瘫或中风的病例。平均随访期33.2±13.0个月(最长随访期58.0个月)。1、2、3年精算生存率分别为100%、97.2%、94.4%。3年内无大动脉相关死亡。观察到2例(5.6%)晚期远端I型内漏。术后1、2、3年脱离主动脉事件的发生率分别为97.2%、97.2%和97.2%。6例无LSA覆盖的退行性胸主动脉降主动脉瘤患者，术后2年随访鸟喙长度和角度逐渐增大。结论使用GORE标记的选择性TEVAR治疗无LSA覆盖的退行性胸主动脉瘤是有效的，可获得满意的早、中期疗效。然而，随着鸟喙结构的发展，下一代程序将需要一种顺应性和灵活性的设备。
PurposeTo confirm the validity of using Gore TAG for degenerative descending thoracic aneurysm repair, we evaluated the mid-term clinical outcomes in our single-center experience.MethodsFrom May 2008 to April 2011, elective thoracic endovascular aortic repair (TEVAR) with Gore TAG without left subclavian artery (LSA) coverage for a degenerative descending thoracic aneurysm was performed in 36 consecutive cases.ResultsThe procedural success rate was 100 %, and no patient died within 30 days of the operation. We observed no cases of paraplegia or stroke. The mean follow-up was 33.2 ± 13.0 months (the maximum follow-up was 58.0 months). The actuarial survival rate was 100, 97.2 and 94.4 % at 1, 2 and 3 years. There was no aorta-related death at 3 years. Two (5.6 %) late distal Type I endoleaks were observed. Freedom form aortic events rate was 97.2, 97.2, and 97.2 % at 1, 2, and 3 years respectively. In six cases with bird-beak configurations at the 2-year follow-up, the bird-beak length and angle had increased gradually.ConclusionsElective TEVAR using the Gore TAG for degenerative descending thoracic aortic aneurysms without LSA coverage is effective and provides satisfactory early and mid-term outcomes. However, since the bird-beak configurations progressed, a conformable and flexible device for the next generation of procedures will be needed.
影响因子：
19.7
作者：
Ueda, Takuya;Fleischmann, Dominik;Sze, Daniel Y.
通讯作者：
Sze, Daniel Y.