Clinical Outcomes for Endovascular Repair of Thoracic Aortic Disease Using the Seal Thoracic Stent Graft: A Korean Multicenter Retrospective Study
- Authors
- Song, Myung Gyu; Cho, Young Kwon; Lee, Do Yun; Cho, Sung Bum; Yoon, Hyun-Ki; Kwon, Se Hwan; Kim, Hyo-Cheol; Yoon, Chang Jin
- Issue Date
- 5월-2017
- Publisher
- ELSEVIER SCIENCE INC
- Citation
- JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, v.28, no.5, pp.645 - 654
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
- Volume
- 28
- Number
- 5
- Start Page
- 645
- End Page
- 654
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/83512
- DOI
- 10.1016/j.jvir.2016.12.1227
- ISSN
- 1051-0443
- Abstract
- Purpose: To investigate the midterm outcomes of thoracic endovascular aneurysm repair (TEVAR) with the use :of the Seal stent graft for four categories of thoracic aortic disease. Materials and Methods: This retrospective multicenter study evaluated the records of 216 Korean patients who underwent TEVAR with the Seal stent graft during 2007-2010. The study outcomes were (i) perioperative death, (ii) endoleak, (iii) repeat intervention, (iv) aortic-related death, and (v) all sudden unexplained late deaths. Results: The overall technical success rate was 94% (203 cases), and the disease-specific rates were 97% (88 cases) for aneurysms, 96% (71 cases) for dissections, 82% (32 cases) for traumatic aortic disease, and 100% (12 cases) for intramural hematoma and/or penetrating aortic ulcer. There were 6 acute surgical conversions (2 for aneurysms and 4 for dissections). There were 18 endoleaks, 4 retrograde ascending aortic dissections, and 6 stent graft induced new entries. The 1-, 3-, and 5-year overall survival rates were 93% +/- 3, 90% +/- 4, and 90% +/- 4, respectively. Conclusions: TEVAR with the Seal thoracic stent graft provided a high technical success rate and low mortality and complication rates during midterm follow-up. However, additional long-term studies are needed to evaluate the durability and late complications associated with this device.
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