| Efficacy of endovascular treatment for isolated abdominal aortic dissection |
| Received:May 21, 2021 Revised:September 24, 2021 Click here to download the full text |
| Citation of this paper:ZOU Ling-wei,LIU Hao,JIANG Xiao-lang,LIU Yi-fan,CHEN Bin,JIANG Jun-hao,SHI Yun,MA Tao,LIN Chang-po,DONG Zhi-hui,FU Wei-guo.Efficacy of endovascular treatment for isolated abdominal aortic dissection[J].Chinese Journal of Clinical Medicine,2022,29(1):17-22 |
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| Author Name | Affiliation | E-mail | | ZOU Ling-wei | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | LIU Hao | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | JIANG Xiao-lang | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | LIU Yi-fan | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | CHEN Bin | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | JIANG Jun-hao | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | SHI Yun | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | MA Tao | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | LIN Chang-po | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | | | DONG Zhi-hui | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | dzh926@126.com | | FU Wei-guo | Department of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China | |
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| Abstract:Objective To investigate the efficacy of endovascular aorta repair (EVAR) on isolated abdominal aortic dissection (IAAD). Methods Clinical data of 53 patients with IAAD who received EVAR in the Department of Vascular Surgery, Zhongshan Hospital, Fudan University from January 2011 to January 2021 were retrospectively analyzed. The survival, complication, and reintervention rates were recorded through postoperative follow-up. SPSS was used for statistical description, and the Kaplan-Meier method was used to calculate cumulative survival rate and freedom from reintervention rate. Results EVAR was successfully performed in all 53 cases. The perioperative mortality rate was 1.9% (1/53). 52 patients were followed up, and the mean follow-up time was (54.9±38.9) months. During the follow-up period, there were 3 all-cause deaths and no IAAD-related death occurred. The overall cumulative survival rates of 1-, 3-, 5-, and 10-year were 98.1%, 98.1%, 91.4%, and 87.1%, respectively, and freedom from IAAD-related mortality rates were all 98.1%, and freedom from reintervention rates were all 91.9%. Conclusion EVAR has good safety, efficacy, and long-term efficacy for IAAD. |
| keywords:abdominal aorta dissection endovascular procedures prognosis |
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