Does endovascular repair affect aortic remodeling in acute complicated type B aortic dissection?

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dc.contributor.authorErtugay S.
dc.contributor.authorBozkaya H.
dc.contributor.authorÇinar C.
dc.contributor.authorParildar M.
dc.contributor.authorPosacioğlu H.
dc.date.accessioned2019-10-26T21:23:23Z
dc.date.available2019-10-26T21:23:23Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: This study aims to analyze the volume changes of true and false lumens at a late stage in patients undergoing thoracic endovascular aortic repair (TEVAR) due to acute complicated type B aortic dissection. Methods: B etween M arch 2 006 a nd N ovember 2 012, 1 8 consecutive patients (14 males, 4 females; mean age was 61.9±11 years; range 39 to 77 years) who underwent TEVAR for acute complicated type B aortic dissection in our clinic were included in this study. Computed tomography scans obtained at the final visit were used for the volume analysis of true and false lumens. The median follow-up was 35.3 (range, 12 to 84) months. Indications for intervention were rupture or malperfusion in 17 patients (both in some patients) and persistent chest pain in one patient. The stent-graft part of the descending thoracic aorta (DTA) was defined as Segment 1, DTA without stent-graft (supraceliac) as Segment 2, and the abdominal aorta as Segment 3. Results: In segment 1, the mean volume of true lumen increased from 74.4±49 mL to 110±50 mL (p=0.0145), while the mean volume of false lumen decreased from 124.2±81 mL to 59.5±59 mL (p<0.00001). In segment 2, the mean volume of true lumen increased from 23.1±28 mL to 40.5±33 mL (p=0.0015), while the mean volume of false lumen decreased from 32.8±29 mL to 29±1 mL (p=0.624). In segment 3, the mean volume of true lumen increased from 46.5±63 mL to 57.3±74 mL (p=0.0388), the mean volume of false lumen decreased from 41.8±30 mL to 37.6±32 mL (p=0.5195). True and false lumens volume changes were statistically significant except volume decrease in segment 3. Conclusion: Endovascular repair of type B aortic dissection may positively affect aortic remodeling in chronic settings and may prevent possible aorta-related complications during longterm follow-up.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2015.11717
dc.identifier.endpage671en_US
dc.identifier.issn1301-5680
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage665en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2015.11717
dc.identifier.urihttps://hdl.handle.net/11454/17063
dc.identifier.volume23en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publishingen_US
dc.relation.ispartofTurkish Journal of Thoracic and Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAortic remodelingen_US
dc.subjectComplicated type b aortic dissectionen_US
dc.subjectThoracic endovascular aortic repairen_US
dc.titleDoes endovascular repair affect aortic remodeling in acute complicated type B aortic dissection?en_US
dc.typeArticleen_US

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