Abstract：
BACKGROUND:Evidence to guide management of postdissection abdominal aortic aneurysms (PDAAA) is lacking. This study describes the outcomes of open repair of PDAAA. METHODS:A retrospective cohort study was conducted of all consecutive patients treated with open repair for PDAAA after a Stanford type A or type B thoracic aortic dissection between January 2006 and December 2017 in two vascular referral centers. Preceding type B dissection treatment could include conservative or surgical management. Primary outcomes were 30-day mortality, complication rates, survival, and reintervention-free survival. Survival and reintervention-free survival were analyzed using the Kaplan-Meier method. Reintervention was defined as any endovascular or surgical intervention after the index procedure. RESULTS:Included were 36 patients (27 men [75%]) with a median age of 64 years (range, 35-81 years). The 30-day mortality was 2.7%. The median follow-up was 16 months (range, 0-88 months). The postoperative course was uneventful in 21 patients (58%). The most frequent complications were postoperative bleeding requiring repeat laparotomy (n = 4), pneumonia (n = 3), congestive heart failure (n = 2), new-onset atrial fibrillation (n = 2), mesenteric ischemia requiring left hemicolectomy (n=1), and ischemic cerebrovascular accident (n = 1). Renal failure requiring hemodialysis developed in one patient. The overall survival at 1 year was 88.8%. Reintervention-free survival was 95.5% after 1 year and 88.6% after 2 years. CONCLUSIONS:Open repair of PDAAA can be performed with a low mortality rate and an acceptable complication rate, comparable with elective open repair of abdominal aortic aneurysms without dissection.
journal_name
J Vasc Surgjournal_title
Journal of vascular surgeryauthors
Vos CG,van Lammeren GW,Werson DAB,Wille J,Kropman RHJ,Vahl AC,Voûte MT,de Vries JPMdoi
10.1016/j.jvs.2019.04.483subject
Has Abstractpub_date
2020-03-01 00:00:00pages
774-779issue
3eissn
0741-5214issn
1097-6809pii
S0741-5214(19)31326-6journal_volume
71pub_type
杂志文章,多中心研究abstract：BACKGROUND:We explored the role of angiotensin II in determining the histomorphometric features of plaque stability in apolipoprotein E-deficient mice submitted to ligation of the carotid artery. METHODS:Six-month-old apolipoprotein E-deficient mice underwent ligation of the common left carotid artery and were immedia...
journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2006.04.033
更新日期：2006-08-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章,多中心研究
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abstract：PURPOSE:Intraoperative duplex scanning (IDS) after carotid endarterectomy (CEA) has been shown to reliably identify major defects either by significant changes in peak systolic velocities or by B-mode imaging. To evaluate whether IDS could also predict postoperative strokes in technically flawless CEAs, we analyzed sev...
journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1067/mva.2002.120044
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abstract：:Deficiencies of total collagen, type III collagen, and elastin have been proposed to explain aneurysm formation. Infrarenal aortas were collected from 19 patients (age 70 +/- 7 years) undergoing operative repair of abdominal aortic aneurysms (diameter 7 +/- 2 cm) and from 13 autopsies (age 63 +/- 17 years) of patients...
journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1067/mva.1989.13151
更新日期：1989-10-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章,meta分析
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abstract：PURPOSE:This study compared the volume and morphology of intraluminal thrombus (ILT) in intact and ruptured abdominal aortic aneurysms (AAAs). METHODS:ILT volume in 67 intact AAAs and in 31 ruptured AAAs was assessed by using computed tomography (CT) angiography to measure the major and minor diameter of the outer wal...
journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2005.01.004
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journal_title：Journal of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jvs.2020.09.042
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2015.07.091
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doi：10.1016/j.jvs.2006.05.049
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1067/mva.2002.129645
更新日期：2002-12-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2006.06.006
更新日期：2006-10-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2019.07.087
更新日期：2020-05-01 00:00:00
abstract：OBJECTIVE:Many studies have found that preoperative aneurysm anatomy can determine the postoperative complication rates for endovascular aneurysm repair (EVAR). With continual improvement in endograft technology, patients with challenging anatomy are increasingly able to undergo successful treatment with EVAR. This stu...
journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2017.07.114
更新日期：2018-03-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2006.05.016
更新日期：2006-09-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/s0741-5214(98)70278-2
更新日期：1998-05-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2017.08.094
更新日期：2018-03-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1067/mva.2002.119747
更新日期：2002-04-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1067/mva.1990.17626
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journal_title：Journal of vascular surgery
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：
更新日期：1993-05-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2012.04.064
更新日期：2012-10-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2006.05.046
更新日期：2006-09-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1067/mva.2002.127340
更新日期：2002-09-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2014.02.002
更新日期：2014-08-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
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更新日期：2021-02-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.jvs.2004.03.017
更新日期：2004-07-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2011.02.007
更新日期：2011-06-01 00:00:00
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journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2010.07.050
更新日期：2011-02-01 00:00:00
abstract：OBJECTIVE:Extracorporeal circulation induces ischemia/reperfusion injury in the small intestinal wall. One reason for this damage is a perfusion shift from the muscular toward the mucosal layer. This study investigated the effect of this perfusion shift on the small-intestinal apoptosis and proliferation. METHODS:Twen...
journal_title：Journal of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.jvs.2015.05.043
更新日期：2016-10-01 00:00:00
