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Outcomes of total arch repair using frozen elephant trunk for type I aortic dissection: a retrospective study
http://hdl.handle.net/10129/00007196
http://hdl.handle.net/10129/000071964f221616-8a7d-4c18-b989-9ad657a10a8d
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
HirosakiMedJ_71(1)_21 (179.1 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||
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| 公開日 | 2020-11-12 | |||||||||||||||
| タイトル | ||||||||||||||||
| タイトル | Outcomes of total arch repair using frozen elephant trunk for type I aortic dissection: a retrospective study | |||||||||||||||
| 言語 | ||||||||||||||||
| 言語 | eng | |||||||||||||||
| キーワード | ||||||||||||||||
| 主題Scheme | Other | |||||||||||||||
| 主題 | total arch repair | |||||||||||||||
| キーワード | ||||||||||||||||
| 主題Scheme | Other | |||||||||||||||
| 主題 | Type I aortic dissection | |||||||||||||||
| キーワード | ||||||||||||||||
| 主題Scheme | Other | |||||||||||||||
| 主題 | frozen elephant trunk | |||||||||||||||
| 資源タイプ | ||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||
| 資源タイプ | journal article | |||||||||||||||
| 著者 |
Kawamura, Tomonori
× Kawamura, Tomonori
× Minakawa, Masahito
× Kondo, Norihiro
× Daitoku, Kazuyuki
× Fukuda, Ikuo
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| 著者所属 | ||||||||||||||||
| Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine | ||||||||||||||||
| 抄録 | ||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||
| 内容記述 | Objectives: The study aimed to evaluate the outcomes of total arch repair in patients with type I aortic dissection. Methods: A total of 117 patients who underwent total arch repair over a period of 27 years were enrolled and divided into two groups: 75 patients who underwent total arch replacement （TAR） and 42 who underwent total arch repair using the frozen elephant trunk（ FET） technique. Univariate and multivariate analyses of outcomes were performed between the two groups. Results: There was no significant difference in permanent cerebral dysfunction （5.3% vs. 9.5%） and temporary cerebral dysfunction （4.0% vs. 2.4%） between the TAR group and FET group. The 30-day and in-hospital mortality of TAR group vs. FET group were 6.7% vs. 0% （P=0.158） and 10.7% vs. 0% （P=0.049）, respectively. The overall survival was significantly higher in the FET group（ log rank P=0.034）. The long-term survival and aortic event free survival rates were not significantly different between the two groups. The independent risk factors for hospital mortality were age（ P=0.046）, preoperative hemodialysis（ P=0.003）, malperfusion of the carotid artery（ P=0.032）, and mediastinitis（ P=0.017）. Conclusions: Total arch repair in patients with type I aortic dissection using FET was beneficial by educing the inhospital inhospital mortality and improving long-term survival rate. |
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| 書誌情報 |
弘前医学 巻 71, 号 1, p. 21-30, 発行日 2020-10-30 |
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| ISSN | ||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||
| 収録物識別子 | 0439-1721 | |||||||||||||||
| 書誌レコードID | ||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||
| 収録物識別子 | AN00211444 | |||||||||||||||
| 著者版フラグ | ||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||
| 出版者 | ||||||||||||||||
| 出版者 | 弘前大学大学院医学研究科 | |||||||||||||||
| 資源タイプ | ||||||||||||||||
| 値 | Article | |||||||||||||||
