Initial and Midterm Results for Repair of Aortic Diseases With Handmade Stent Grafts(Clinical Investigation)
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概要
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Background The purpose of this study was to determine the initial and midterm results for repair of thoracic and abdominal aortic diseases using handmade stent-grafts (SGs). Methods and Results Between 1999 and 2004, 41 consecutive patients (31 patients with thoracic and 10 patients with abdominal aortic disease) underwent endovascular stent-graft repair using handmade SGs. The follow-up averaged 24.8±17.6 months. The technical and initial clinical success rates were 82.9% (34/41) and 80.5% (33/41), respectively. Primary type I or III endoleaks occurred in 12.2% (5/41) of the patients. The hospital mortality rate was 4.9% (2/41). Persistent type I or III endoleaks occurred in 9.8% (4/41) and SG migrations occurred in 4.9% (2/41) of the patients. Open surgical conversion was undertaken in 12.2% (5/41) of the patients because of an endoleak and/or migration. The mean change observed in the aneurysm diameter was -6.2±10.5mm, and shrinkage in the diameter occurred in 51.4% (18/35) of the cases. There was 1 patient death because of aneurysm rupture. Neither stent fracture nor graft hole was observed. The overall clinical success rate during follow-up was 78.0% (32/41). Conclusion The initial and midterm results obtained after repair of the aortic diseases using handmade SGs were considered to be satisfactory. More surgical experience and long-term patient follow-up are both required to further reassess the effect of this treatment.
- 社団法人日本循環器学会の論文
- 2006-05-20
著者
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AKASHI Hidetoshi
Department of Cardiovascular Surgery, Kurume University School of Medicine
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AOYAGI Shigeaki
Department of Cardiovascular Surgery, Kurume University School of Medicine
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Aoyagi Shigeaki
Department Of Surgery Kurume University School Of Medicine
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Otsuka Hiroyuki
Department Of Surgery Kurume University School Of Medicine
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Onitsuka Seiji
Department of Surgery, Kurume University School of Medicine
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Tanaka Atsuhisa
Department of Surgery, Kurume University School of Medicine
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Akashi Hidetoshi
Department Of Cardiovascular Surgery Kurume University School Of Medicine
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Onitsuka Seiji
Department Of Surgery Kurume University
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YOKOKURA HIROKO
Department of Surgery, Kurume University of Medicine
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Akaiwa Keiichi
Department of Surgery, Kurume University School of Medicine
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Tanaka Atsuhisa
Department Of Surgery Kurume University
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Yokokura Hiroko
Department Of Surgery Kurume University School Of Medicine
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Akaiwa Keiichi
Department Of Surgery Kurume University School Of Medicine
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Aoyagi Shigeaki
Dept. Of Iind Surgery Kurume Unrverslty School Of Medicine
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Aoyagi Shigeaki
Division Of Cardiovascular Surgery Department Of Surgery Kurume University School Of Medicine
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Otsuka Hiroyuki
Department Of Earth And Environmental Sciences Faculty Of Science Kagoshima University
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Aoyagi Shigeaki
久留米大学 医学部外科学
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Otsuka Hiroyuki
Department Of Cardiovascular Surgery Munakata Suikokai General Hospital
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Aoyagi Shigeaki
Department of Surgery, Kurume University School of Medicine
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