手術ハイリスク患者に対するDebranching TEVARの早期成績
【緒言】手術ハイリスク患者に対するdebranching TEVARの早期成績を分析した。【方法】133例にdebranching TEVARを施行した。【結果】術後30日死亡率は3.0%，type Iエンドリークは26%であった。【結語】Full sternotomyによるtotal debranchingの手術侵襲は高かった。そのため近年はsurgeon-modified fenestration法を導入した。...
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| Published in | 脈管学 Vol. 57; no. 10; pp. 145 - 149 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
10.10.2017
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.17-00017 |
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| Abstract | 【緒言】手術ハイリスク患者に対するdebranching TEVARの早期成績を分析した。【方法】133例にdebranching TEVARを施行した。【結果】術後30日死亡率は3.0%，type Iエンドリークは26%であった。【結語】Full sternotomyによるtotal debranchingの手術侵襲は高かった。そのため近年はsurgeon-modified fenestration法を導入した。 |
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| AbstractList | 【緒言】手術ハイリスク患者に対するdebranching TEVARの早期成績を分析した。【方法】133例にdebranching TEVARを施行した。【結果】術後30日死亡率は3.0%，type Iエンドリークは26%であった。【結語】Full sternotomyによるtotal debranchingの手術侵襲は高かった。そのため近年はsurgeon-modified fenestration法を導入した。 |
| Author | 新垣, 正美 楢山, 耕平 柴田, 豪 森下, 清文 馬渡, 徹 馬場, 俊雄 |
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| Copyright | 2017 一般社団法人日本脈管学会 |
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| DOI | 10.7133/jca.17-00017 |
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| References | 1) Banno H, Cochennec F, Marzelle J, et al: Comparison of fenestrated endovascular aneurysm repair and chimney graft techniques for pararenal aortic aneurysm. J Vasc Surg 2014; 60: 31–39 6) Preventza O, Bakaeen FG, Cervera RD, et al: Deployment of proximal thoracic endograft in zone 0 of the ascending aorta: treatment options and early outcomes for aortic arch aneurysm in a high-risk population. Eur J Cardiothorac Surg 2013; 44: 446–452; discussion, 452–453 15) Okada K, Omura A, Kano H, et al: Recent advancements of total aortic arch replacement. J Thorac Cardiovasc Surg 2012; 144: 139–145 13) De Rango P, Ferrer C, Coscarella C, et al: Contemporary comparison of aortic arch repair by endovascular and open surgical reconstructions. J Vasc Surg 2015; 61: 339–346 10) Settepani F, Cappai A, Basciu A, et al: Outcome of open total arch replacement in the modern era. J Vasc Surg 2016; 63: 537–545 2) Kurimoto Y, Maruyama R, Ujihira K, et al: Thoracic endovascular aortic repair for challenging aortic arch disease using fenestrated stent grafts from zone 0. Ann Thorac Surg 2015; 100: 24–33; discussion, 32–33 20) 森下清文，佐賀俊文，楢山耕平，他：ハイブリッド弓部大動脈ステントグラフト留置術—Total debranching vs partial debranchingの比較—．日血外会誌 2014; 23: 695–699 18) Feezor RJ, Martin TD, Hess PJ, et al: Risk factors for perioperative stroke during thoracic endovascular aortic repairs (TEVAR). J Endovasc Ther 2007; 14: 568–573 24) Canaud L, Baba T, Gandet T, et al: Physician modified thoracic stent-grafts for the treatment of aortic arch lesions. J Endovasc Ther 2017; 24: 542–548 8) Morishita K, Kuroda Y, Uehara M, et al: Endovascular repair of a proximal aortic arch aneurysm with extrathoracic debranching. J Vasc Surg 2012; 56: 508 19) Lee CJ, Rodriguez HE, Kibbe MR, et al: Secondary interventions after elective thoracic endovascular aortic repair for degenerative aneurysms. J Vasc Surg 2013; 57: 1269–1274 4) Ferrero E, Ferri M, Viazzo A, et al: Is total debranching a safe procedure foe extensive aortic-arch disease?: a single experience of 27 cases. Eur J Cardiothorac Surg 2012; 41: 177–182 21) Ricotta JJ 2nd, Tsilimparis N: Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients. J Vasc Surg 2012; 56: 1535–1543 22) Miyata H, Tomotaki A, Motomura N, et al: Operative mortality and complication risk model for all major cardiovascular operations in Japan. Ann Thorac Surg 2015; 99: 130–139 23) Stanes BW: Physician-modified endovascular grafts for the treatment of elective, symptomatic, or ruptured juxtarenal aortic aneurysms. J Vasc Surg 2012; 56: 601–607 16) Oda T, Minatoya K, Sasaki H, et al: Is conventional open repair still a good option for aortic arch aneurysm in patients of advanced age? Ann Thorac Surg 2016; 101: 80–86 9) 氏平功祐，森下清文，柴田 豪，他：胸骨正中小切開によるtotal debranching胸部大動脈ステントグラフト治療（TEVAR）．胸部外科 2013; 66: 990–995 3) Kotelis D, Geisbusch P, Attigah N, et al: Total vs hemi-aortic arch transposition for hybrid aortic arch repair. J Vasc Surg 2011; 54: 1182–1186.e2 5) Clough RE, Lotfl S, Powell J, et al: Hybrid aortic arch repair. Ann Cardiothorac Surg 2013; 2: 300–302 7) 森下清文，柴田 豪，佐賀俊文，他：Debranchingを併用した胸部ステントグラフト留置術の中期遠隔気成績．日血外会誌 2013; 22: 609–613 11) Manuel AP, José MLC, José ACM, et al: Debranching aortic surgery. J Thorac Dis 2017; 9 Suppl 6: S465–S477 14) Vallejo N, Rodriguez-Lopez JA, Heidari P, et al: Hybrid repair of thoracic aortic lesions for zone 0 and 1 in highrisk patients. J Vasc Surg 2012; 55: 318–325 17) Iba Y, Minatoya K, Matsuda H, et al: Contemporary open aortic arch repair with selective cerebral perfusion in the era of endovascular aortic repair. J Thorac Cardiovasc Surg 2013; 145 Suppl: S72–S77 12) Lotfi S, Clough RE, Ali T, et al: Hybrid repair of complex thoracic aortic arch pathology: long-term outcomes of extra-anatomic bypass grafting of the supra-aortic Trunk. Cardiovasc Intervent Radiol 2013; 36: 46–55 |
| References_xml | – reference: 12) Lotfi S, Clough RE, Ali T, et al: Hybrid repair of complex thoracic aortic arch pathology: long-term outcomes of extra-anatomic bypass grafting of the supra-aortic Trunk. Cardiovasc Intervent Radiol 2013; 36: 46–55 – reference: 21) Ricotta JJ 2nd, Tsilimparis N: Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients. J Vasc Surg 2012; 56: 1535–1543 – reference: 17) Iba Y, Minatoya K, Matsuda H, et al: Contemporary open aortic arch repair with selective cerebral perfusion in the era of endovascular aortic repair. J Thorac Cardiovasc Surg 2013; 145 Suppl: S72–S77 – reference: 8) Morishita K, Kuroda Y, Uehara M, et al: Endovascular repair of a proximal aortic arch aneurysm with extrathoracic debranching. J Vasc Surg 2012; 56: 508 – reference: 19) Lee CJ, Rodriguez HE, Kibbe MR, et al: Secondary interventions after elective thoracic endovascular aortic repair for degenerative aneurysms. J Vasc Surg 2013; 57: 1269–1274 – reference: 3) Kotelis D, Geisbusch P, Attigah N, et al: Total vs hemi-aortic arch transposition for hybrid aortic arch repair. J Vasc Surg 2011; 54: 1182–1186.e2 – reference: 18) Feezor RJ, Martin TD, Hess PJ, et al: Risk factors for perioperative stroke during thoracic endovascular aortic repairs (TEVAR). J Endovasc Ther 2007; 14: 568–573 – reference: 24) Canaud L, Baba T, Gandet T, et al: Physician modified thoracic stent-grafts for the treatment of aortic arch lesions. J Endovasc Ther 2017; 24: 542–548 – reference: 1) Banno H, Cochennec F, Marzelle J, et al: Comparison of fenestrated endovascular aneurysm repair and chimney graft techniques for pararenal aortic aneurysm. J Vasc Surg 2014; 60: 31–39 – reference: 14) Vallejo N, Rodriguez-Lopez JA, Heidari P, et al: Hybrid repair of thoracic aortic lesions for zone 0 and 1 in highrisk patients. J Vasc Surg 2012; 55: 318–325 – reference: 20) 森下清文，佐賀俊文，楢山耕平，他：ハイブリッド弓部大動脈ステントグラフト留置術—Total debranching vs partial debranchingの比較—．日血外会誌 2014; 23: 695–699 – reference: 4) Ferrero E, Ferri M, Viazzo A, et al: Is total debranching a safe procedure foe extensive aortic-arch disease?: a single experience of 27 cases. Eur J Cardiothorac Surg 2012; 41: 177–182 – reference: 5) Clough RE, Lotfl S, Powell J, et al: Hybrid aortic arch repair. Ann Cardiothorac Surg 2013; 2: 300–302 – reference: 16) Oda T, Minatoya K, Sasaki H, et al: Is conventional open repair still a good option for aortic arch aneurysm in patients of advanced age? Ann Thorac Surg 2016; 101: 80–86 – reference: 6) Preventza O, Bakaeen FG, Cervera RD, et al: Deployment of proximal thoracic endograft in zone 0 of the ascending aorta: treatment options and early outcomes for aortic arch aneurysm in a high-risk population. Eur J Cardiothorac Surg 2013; 44: 446–452; discussion, 452–453 – reference: 22) Miyata H, Tomotaki A, Motomura N, et al: Operative mortality and complication risk model for all major cardiovascular operations in Japan. Ann Thorac Surg 2015; 99: 130–139 – reference: 11) Manuel AP, José MLC, José ACM, et al: Debranching aortic surgery. J Thorac Dis 2017; 9 Suppl 6: S465–S477 – reference: 13) De Rango P, Ferrer C, Coscarella C, et al: Contemporary comparison of aortic arch repair by endovascular and open surgical reconstructions. J Vasc Surg 2015; 61: 339–346 – reference: 9) 氏平功祐，森下清文，柴田 豪，他：胸骨正中小切開によるtotal debranching胸部大動脈ステントグラフト治療（TEVAR）．胸部外科 2013; 66: 990–995 – reference: 23) Stanes BW: Physician-modified endovascular grafts for the treatment of elective, symptomatic, or ruptured juxtarenal aortic aneurysms. J Vasc Surg 2012; 56: 601–607 – reference: 10) Settepani F, Cappai A, Basciu A, et al: Outcome of open total arch replacement in the modern era. J Vasc Surg 2016; 63: 537–545 – reference: 7) 森下清文，柴田 豪，佐賀俊文，他：Debranchingを併用した胸部ステントグラフト留置術の中期遠隔気成績．日血外会誌 2013; 22: 609–613 – reference: 2) Kurimoto Y, Maruyama R, Ujihira K, et al: Thoracic endovascular aortic repair for challenging aortic arch disease using fenestrated stent grafts from zone 0. Ann Thorac Surg 2015; 100: 24–33; discussion, 32–33 – reference: 15) Okada K, Omura A, Kano H, et al: Recent advancements of total aortic arch replacement. J Thorac Cardiovasc Surg 2012; 144: 139–145 |
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| Title | 手術ハイリスク患者に対するDebranching TEVARの早期成績 |
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