Surgical Outcomes after Superior Vena Cava Reconstruction with Expanded Polytetrafluoroethylene Grafts
スポンサーリンク
概要
- 論文の詳細を見る
Objectives: Graft occlusion is a problem after superior vena cava (SVC) reconstruction for thoracic malignancy. Expanded polytetrafluoroethylene (ePTFE) is considered to be an optimal material for venous reconstruction.Methods: We reviewed the hospital records of 13 patients who underwent complete resection of thoracic malignancy invading the SVC, including SVC reconstruction with ePTFE grafts. Single bypass grafting was performed in two patients (one right-sided, one left-sided) and double bypasses grafting was performed in the other patients. All patients received antithrombotic therapy after surgery. Eight patients died of recurrence or other disease during the follow-up period (range 5–41 months).Results: Of the 24 grafts in 13 patients, graft patency was confirmed in 20 grafts in 9 patients at a mean time follow-up time of 47.8 ± 50.0 months after surgery. In the remaining four grafts in four patients, occlusion was diagnosed at a mean time of 1.25 ± 0.50 months after surgery. All obstructed grafts were left-sided bypass grafts in patients who underwent double bypass grafting, and did not result in SVC syndrome.Conclusions: SVC reconstruction with ringed ePTFE grafts was safe and had good outcomes. In patients who underwent double bypasses grafting, the left-sided bypass grafts were susceptible to occlusion.
著者
-
Endo Shunsuke
Department Of Earth And Planetary Sciences Nagoya University
-
Tsubochi Hiroyoshi
Department Of General Surgery Saitama Medical Center Jichi Medical University
-
Nakano Tomoyuki
Department Of Anatomy And Cell Biology Yamagata University School Of Medicine
-
OTANI Shinichi
Department of General Thoracic Surgery, Jichi Medical University and Saitama Medical Center
-
Yamamoto Shinichi
Department Of Anesthesiology School Of Medicine Keio University
-
Kanai Yoshihiko
Department Of General Thoracic Surgery Jichi Medical University
-
Tetsuka Kenji
Department Of General Thoracic Surgery Jichi Medical University
-
Tetsuka Kenji
Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
-
Kanai Yoshihiko
Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
-
Yamamoto Shinichi
Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
-
Otani Shinichi
Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
-
Otani Shinichi
Department of Chemistry, College of Liberal Arts and Sciences, Kyoto University
-
NAKANO Tomoyuki
Department of Advanced Surgical Science and Technology, Tohoku University Graduate School of Medicine
関連論文
- Momoiite, (Mn^, Ca)_3(V^, Al)_2Si_3O_, a new manganese vanadium garnet from Japan
- Flow Patterns in the Dog Descending Aorta under a Steady Flow Condition Simulating Mid-Systole(Bioengineering)
- Gastrointestinal stromal tumor of the stomach with extremely slow-growing hematogenous metastasis
- Effects of Weight Loss on Bone Mineral Density in Rats
- Inflammatory Mediators Down-Regulate 11β-Hydroxysteroid Dehydrogenase Type 2 in a Human Lung Epithelial Cell Line BEAS-2B and the Rat Lung
- Increased expression of 11β-hydroxysteroid dehydrogenase type 2 in the Iungs of patients with acute respiratory distress syndrome
- Expression of 11β-Hydroxysteroid Dehydrogenase Type 1 in Alveolar Epithelial Cells in Rats
- The Relationship between Maternity Blues and Thyroid Dysfunction
- The Relation between Body-Fat Distribution and Lipid Metabolism in Postmenopausal Women
- Thymic clear cell carcinoma
- End-stage localized bronchiectasis mimicking a hemangioma
- Large-cell neuroendocrine carcinoma without immunohistological positivity or serum elevation of CEA until relapse
- Spontaneous regression of symptomatic thymoma caused by infarction
- Descending necrotizing mediastinitis secondary to retropharyngeal abscess without cervical spread
- Chronic diaphragmatic hernia
- Plastron-Trapdoor Technique for Direct-Vision Sternal Re-entry
- Predictors of Postoperative Complications After Radical Resection for Pulmonary Aspergillosis
- Preoperative Chemotherapy for cStage III-pN0 Patients with Non-small Cell Lung Cancer
- Pleural Gas Gangrene Secondary to Esophageal injury by an Ingested Fish Bone
- Successful Reconstruction of Extensive Laryngotracheal Strictures After Inhalation Burn Injury : Report of a Case
- Guideline of Surgical Management Based on Diffusion of Descending Necrotizing Mediastinitis
- Late Pleuropulmonary Aspergillosis After the Treatment of Pneumothorax: Report of Three Cases
- Pulmonary Histoplasmosis in a Japanese Male : Report of a Case
- Subcarinal Neurogenic Tumor : Report of a Case
- Continuous spinal anesthesia and postoperative analgesia for elective cesarean section in a parturient with Eisenmenger's syndrome
- Remarkable Salt Effects in the Highly Enhanced Enantioselective Hydrolysis of Amino Acid Esters with the Active Tripeptide in the Vesicular System
- Increased Induction of Inducible Nitric Oxide Synthase Expression in Aortae of Type 2 Diabetes Rats
- Unsuspected tracheal web inhibits endotracheal intubation : report of a case
- An Investigation of the Inherent Chiral Induction Ability of Axially Chiral 1,1'-Binaphthalene Framework in the Prelog's Atrolactic Acid Synthesis
- Ascitic Positive Cytology and Intraperitoneal Metastasis in Ovarian Dysgerminoma
- Identification of Cells Expressing Cyclooxygenase-2 in Response to Interleukin-1β in Rat Aortae
- Pathological Findings and Pulmonary Dysfunction after Acute Respiratory Distress Syndrome for 5 Years
- Cycloheximide Suppresses Radiation-induced Apoptosis in MOLT-4 Cell with Arg72 Variant of p53 through Translational Inhibition of p53 Accumulation
- Lipid Messenger, Diacylglycerol, and its Regulator, Diacylglycerol Kinase, in Cells, Organs, and Animals : History and Perspective
- A Half-Sized Post-Wall Short-Slot Directional Coupler with Hollow Rectangular Holes in a Dielectric Substrate(Passive Circuits, Recent Technologies of Microwave and Millimeter-Wave Devices Focusing on Miniaturization and Advancement in Pe
- A Post-Wall Waveguide Slot Array with a Three-Way Power Divider on a Single-Layer Dielectric Substrate(Antennas and Propagation)
- Identification of Cells Expressing Cyclooxygenase-2 in Response to Interleukin-1β in Rat Aortae
- Chronic Expanding Hematoma with Bronchopleural Fistula and Empyema Space
- Successfully Treated Lingual Tonsillar Metastasis from Bronchial Adenocarcinoma
- Extrapulmonary hamartoma
- Extended sleeve lobectomy for interlobar lymph node metastasis invading the bronchus from peripheral lung cancer
- Muscle plombage for extensive bronchial necrosis after right lower lobectomy
- Multimodal Treatment for Multistation Mediastinal : Lymph Node Adenocarcinoma : A Case Report
- Pleural solitary fibrous tumor with bullae : is it a microinvasive tumor?
- Successful Silicon Stent for Life-Threatening Tracheal Wall Laceration
- Surgical Outcomes after Superior Vena Cava Reconstruction with Expanded Polytetrafluoroethylene Grafts
- High-pressure aminolysis of lactones to hydroxy amides.