Incidence and risk factors for retrograde type A dissection and stent graft-induced new entry after thoracic endovascular aortic repair
文献类型：期刊论文
| 作者 | Ma, Tao2; Dong, Zhi Hui2; Fu, Wei Guo2; Guo, Da Qiao2; Xu, Xin2; Chen, Bin2; Jiang, Jun Hao2; Yang, Jue2; Shi, Zhen Yu2; Zhu, Ting2 |
| 刊名 | JOURNAL OF VASCULAR SURGERY
 |
| 出版日期 | 2018-04 |
| 卷号 | 67期号:4页码:1026-+ |
| ISSN号 | 0741-5214 |
| DOI | 10.1016/j.jvs.2017.08.070 |
| 文献子类 | Article |
| 英文摘要 | Objective: Stent graft (SG)-induced new entry (SINE) and retrograde type A dissection (RTAD) are serious device-related complications occurring after thoracic endovascular aortic repair (TEVAR) for Stanford type B aortic dissection (TBAD) and may lead to endograft-related complications including retrograde dissection and death. The purpose of this study was to investigate the incidence and risk factors for the development of RTAD and SINE after TEVAR for TBAD and to identify the complications associated with this. Methods: From April 2005 to October 2013, there were 997 patients who underwent TEVAR for TBAD; 852 were followed up (0-6 years; mean, 2.6 years), and 59 SINEs developed in 53 patients. The oversizing ratio and incidence of RTAD and SINE were compared between proximal bare stent (PBS) and non-PBS groups and RTAD and SINE and non-RTAD and non-SINE groups. The baseline characteristics and SG configurational factors potentially affecting both RTAD and distal SINE were analyzed. Results: There was no significant difference between PBS and non-PBS groups in the incidence of RTAD. A greater oversizing ratio was related to a higher distal SINE rate. SINE was seen more frequently in smokers and in patients with hypertension, Marfan syndrome, and TEVAR in the chronic phase and less frequently in complicated dissection cases. Device-related factors for SINE were SG with a connecting bar and SG length <165 mm. The SG length <165 mm increased the overall proximal and distal SINE incidence in multivariate analysis. Conclusions: The presence of a PBS is not associated with a higher RTAD rate, whereas the use of an SG with a connecting bar and length <165 mm increases the risk of RTAD and SINE after TEVAR. |
| WOS关键词 | STEEL-BASED DEVICE ; B DISSECTION ; COMPLICATIONS ; PLACEMENT ; REGISTRY |
| 资助项目 | National Natural Science Foundation of China[81371648] ; National Natural Science Foundation of China[81470573] ; Key Project for Basic Research of Shanghai Science and Technology Commission[12JC1402400] ; Guiding Project of Shanghai Science and Technology Commission[124119a3501] ; Key Project for Scientific Research and Innovation of Shanghai Education Commission[14ZZ012] ; Science and Technology Committee of Shanghai Municipality[16410722900] |
| WOS研究方向 | Surgery ; Cardiovascular System & Cardiology |
| 语种 | 英语 |
| WOS记录号 | WOS:000428214800006 |
| 出版者 | MOSBY-ELSEVIER |
| 源URL | [http://119.78.100.183/handle/2S10ELR8/279833]  |
| 专题 | 上海中药现代化研究中心 |
| 通讯作者 | Fu, Wei Guo |
| 作者单位 | 1.Chinese Acad Sci, Shanghai Inst Mat Med, Shanghai, Peoples R China; 2.Fudan Univ, Dept Vasc Surg, Inst Vasc Surg, Zhongshan Hosp, 180 Feng Lin Rd, Shanghai 200032, Peoples R China; 3.Imperial Coll London, Dept Chem Engn, London, England |
| 推荐引用方式 GB/T 7714 | Ma, Tao,Dong, Zhi Hui,Fu, Wei Guo,et al. Incidence and risk factors for retrograde type A dissection and stent graft-induced new entry after thoracic endovascular aortic repair[J]. JOURNAL OF VASCULAR SURGERY,2018,67(4):1026-+. |
| APA | Ma, Tao.,Dong, Zhi Hui.,Fu, Wei Guo.,Guo, Da Qiao.,Xu, Xin.,...&Xu, Xiao Yun.(2018).Incidence and risk factors for retrograde type A dissection and stent graft-induced new entry after thoracic endovascular aortic repair.JOURNAL OF VASCULAR SURGERY,67(4),1026-+. |
| MLA | Ma, Tao,et al."Incidence and risk factors for retrograde type A dissection and stent graft-induced new entry after thoracic endovascular aortic repair".JOURNAL OF VASCULAR SURGERY 67.4(2018):1026-+. |
入库方式： OAI收割
来源：上海药物研究所
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