دورية أكاديمية
Compressed Amplatzer Vascular Plug II Embolization of the Left Subclavian Artery for Thoracic Endovascular Aortic Repair is Efficient and Safety Method Comparable to Conventional Coil Embolization
| العنوان: | Compressed Amplatzer Vascular Plug II Embolization of the Left Subclavian Artery for Thoracic Endovascular Aortic Repair is Efficient and Safety Method Comparable to Conventional Coil Embolization |
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| المؤلفون: | Matsumoto Kensuke, Ohuchi Yasufumi, Yata Shinsaku, Adachi Akira, Endo Masayuki, Takasugi Shohei, Fujii Shinya, Hashimoto Masayuki, Kaminou Toshio, Ogawa Toshihide, Fujiwara Yoshikazu, Saiki Munehiro, Nishimura Motonobu |
| المصدر: | Yonago Acta Medica. 2019, 62(1), 24-29 ; https://www.jstage.jst.go.jp/article/yam/62/1/62_2019.03.004/_article/-char/enTest ; http://www.lib.tottori-u.ac.jp/yam/yam/yam62-1/62-1contents.htmlTest |
| بيانات النشر: | Tottori University Medical Press |
| سنة النشر: | 2019 |
| المجموعة: | Tottori University Research Result Repository / 鳥取大学研究成果リポジトリ |
| مصطلحات موضوعية: | endovascular procedures, aortic aneurysm, subclavian artery, embolization |
| الوصف: | [Background] Left subclavian artery (LSA) embolization is occasionally required to prevent type II endoleak in the thoracic endovascular aortic repair (TEVAR) procedure. This is a retrospective study comparing compressed Amplatzer Vascular Plug II embolization (CAE) and conventional coil embolization (CCE) in preventing retrograde flow into the aneurysmal sac through the LSA after TEVAR. [Methods] We retrospectively reviewed the records of patients who underwent CAE or CCE of the LSA during TEVAR from June 2013 to March 2016 in our hospital. The efficacy, safety and cost of each method were compared between two groups. [Results] Thirty patients underwent LSA embolization during TEVAR. Six CCEs in 6 patients were performed from June 2013 to November 2013, while twenty-four CAEs in 24 patients were performed from December 2013 to March 2016. Technical success was achieved in all patients in both groups. No embolization-related complications or type II endoleaks from LSA were recorded during the follow-up period in all patients. In both groups, all embolic materials were detected in the proximal portion of the LSA from the LSA orifice to the vertebral artery origin and no vertebral artery occlusions were detected. The mean compression ratio of AVP II was 58 ± 5.9% of predicted length of standard procedure. In the CAE group, one AVP II was sufficient to achieve complete LSA occlusion in all patients. On the other hand, multiple coils (10.2 ± 2.7) were used in the CCE group (P < .01), resulting in a significantly lower cost incurred in the CAE group (CAE: 129,000 JPY vs. CCE: 639,600 ± 140,060 JPY; P < .01). [Conclusion] The CAE is a useful and cost-effective procedure for TEVAR-related LSA embolization. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 05135710 |
| العلاقة: | https://repository.lib.tottori-u.ac.jp/?action=repository_uri&item_id=4765Test; http://id.nii.ac.jp/1824/00004759Test/; Yonago Acta Medica = Yonago Acta Medica, 62(1), 24-29(2019-03-28); AA00892882; https://repository.lib.tottori-u.ac.jp/?action=repository_action_common_download&item_id=4765&item_no=1&attribute_id=22&file_no=1Test |
| الإتاحة: | http://id.nii.ac.jp/1824/00004759Test/ https://repository.lib.tottori-u.ac.jp/?action=repository_uri&item_id=4765Test https://repository.lib.tottori-u.ac.jp/?action=repository_action_common_download&item_id=4765&item_no=1&attribute_id=22&file_no=1Test |
| حقوق: | Yonago Acta medica 編集委員会 |
| رقم الانضمام: | edsbas.C5636BF3 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 05135710 |
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