Clinical Outcomes of Endovascular Aneurysm Repair with the Kilt Technique for Abdominal Aortic Aneurysms with Hostile Aneurysm Neck Anatomy: A Korean Multicenter Retrospective Study
DC Field | Value | Language |
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dc.contributor.author | Jeon, Yong Sun | - |
dc.contributor.author | Cho, Young Kwon | - |
dc.contributor.author | Song, Myung Gyu | - |
dc.contributor.author | Seo, Tae-Seok | - |
dc.contributor.author | Kim, Jeong Ho | - |
dc.contributor.author | Song, Soon-Young | - |
dc.contributor.author | Lee, Sam Yeol | - |
dc.date.accessioned | 2021-09-02T13:32:41Z | - |
dc.date.available | 2021-09-02T13:32:41Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2018-04 | - |
dc.identifier.issn | 0174-1551 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/76632 | - |
dc.description.abstract | We aimed to evaluate the clinical efficacy and short-term clinical outcomes of Kilt technique-based endovascular aneurysm repair (EVAR) with Seal(A (R)) stent-grafts for abdominal aortic aneurysms (AAAs) with hostile neck anatomy (angle > 60A degrees). We retrospectively evaluated the pre-EVAR and follow-up computed tomography angiography findings of 24 patients (mean age 71 +/- 11 years; age range 32-87 years; mean follow-up 50 +/- 12 months) with hostile neck AAAs treated between 2010 and 2015. Serial change in aneurysmal neck angle was calculated using a standardized protocol. Relationships between clinical variables and outcomes were evaluated using univariate and multivariate Cox analyses and mixed-model regression. In addition, the Kaplan-Meier method was used to assess the cumulative rates of survival, endoleak, and reintervention. The primary technical success rate (success within 24 h after EVAR) was 100% (24/24). The survival rate was 96 +/- 8% at 1 month, 6 months, 1 year, and 3 years, and 87 +/- 18% at 5 years. Endoleaks occurred in three patients. Four reinterventions were performed in three patients; no surgical revisions were required. Causes of post-EVAR mortality included intracerebral hemorrhage at 14 days and rhabdomyolysis at 32 months. The most remarkable change after Kilt-based EVAR was an acute decrease in the neck angle, which was observed between the pre-EVAR and first follow-up visits (at 1 month) (P = 0.001). Kilt-based EVAR with Seal(A (R)) stent-grafts for AAAs with a severely angulated neck (angle > 60A degrees) provided high technical success, low mortality, and low complication rates during short-term follow-up. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.subject | STENT-GRAFT | - |
dc.subject | EXCLUDER ENDOPROSTHESIS | - |
dc.subject | PROXIMAL NECKS | - |
dc.subject | ANGULATION | - |
dc.subject | EUROSTAR | - |
dc.subject | SEAL | - |
dc.subject | PERFORMANCE | - |
dc.subject | EXPERIENCE | - |
dc.subject | ENDOGRAFT | - |
dc.subject | TRIAL | - |
dc.title | Clinical Outcomes of Endovascular Aneurysm Repair with the Kilt Technique for Abdominal Aortic Aneurysms with Hostile Aneurysm Neck Anatomy: A Korean Multicenter Retrospective Study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Song, Myung Gyu | - |
dc.contributor.affiliatedAuthor | Seo, Tae-Seok | - |
dc.identifier.doi | 10.1007/s00270-017-1867-y | - |
dc.identifier.scopusid | 2-s2.0-85039039311 | - |
dc.identifier.wosid | 000426757400004 | - |
dc.identifier.bibliographicCitation | CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, v.41, no.4, pp.554 - 563 | - |
dc.relation.isPartOf | CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | - |
dc.citation.title | CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | - |
dc.citation.volume | 41 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 554 | - |
dc.citation.endPage | 563 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalResearchArea | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.relation.journalWebOfScienceCategory | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.subject.keywordPlus | STENT-GRAFT | - |
dc.subject.keywordPlus | EXCLUDER ENDOPROSTHESIS | - |
dc.subject.keywordPlus | PROXIMAL NECKS | - |
dc.subject.keywordPlus | ANGULATION | - |
dc.subject.keywordPlus | EUROSTAR | - |
dc.subject.keywordPlus | SEAL | - |
dc.subject.keywordPlus | PERFORMANCE | - |
dc.subject.keywordPlus | EXPERIENCE | - |
dc.subject.keywordPlus | ENDOGRAFT | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordAuthor | Abdominal aortic disease | - |
dc.subject.keywordAuthor | Aortic stent-graft | - |
dc.subject.keywordAuthor | Abdominal aortic aneurysm | - |
dc.subject.keywordAuthor | Endovascular aneurysm repair | - |
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