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The short-term safety and effectiveness of a new distal perforating stent graft in Type B aortic dissection: a retrospective study

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机构: [1]Vascular Intervention Department, Yan’an Hospital Affiliated to Kunming Medical University, Kunming, China. [2]The First School of Clinical Medicine, Yunnan University of Chinese Medicine, Yunnan, China. [3]Pharmacy Department, Yan’an Hospital Affiliated to Kunming Medical University, Kunming, China. [4]Ultrasonic Department, Yan’an Hospital Affiliated to Kunming Medical University, Kunming, China. [5]Pain Treatment Department, First Affiliated Hospital of Kunming Medical University, Kunming, China. [6]Intervention Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, China. [7]Office of Hospital Director, Yan’an Hospital Affiliated to Kunming Medical University, Kunming, China.
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关键词: Thoracic endovascular aortic repair Paraplegia Type B aortic dissection

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Background Spinal artery ischemia (SCI) events can result from over coverage of the descending thoracic aorta with a coated stent during Thoracic Endovascular Aortic Repair (TEVAR). The aim of this study was to determine whether a new distal perforating stent could reduce the incidence of spinal cord ischemia while remodeling the true lumen. Methods TBAD patients treated with Talos stent in the vascular surgery Department of Yan 'an Hospital affiliated to Kunming Medical University between December 2017 and October 2019 were retrospectively analyzed to investigate the short-term safety and effectiveness of Talos stent. Results A total of the 20 patients, including 14 males and 6 females, with an average age of 52.65 +/- 8.98 years (range 37-68 years), were included in the analysis. Stent-grafts were successfully implanted in all patients under local anesthesia, with a technical success rate of 100%. The average operation time was 50.75 +/- 13.01 min. A total of 2 cases (10%) presented chest pain associated with intercostal artery ischemia that was relieved on the 3rd and 5th postoperative day, respectively. Postoperative mean follow-up was 16.15 +/- 3.99 months. No paraplegia or other complications occurred. And stenting did not induce new tears. No migration, deformation, or fracture of the stents occurred. There was a significant difference in the remolding of the true lumen preoperatively and at 12 months postoperatively (P < 0.05). Conclusions Talos stent has achieved satisfactory clinical treatment results in short term.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 心脏和心血管系统
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 心脏和心血管系统
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出版当年[2021]版:
Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版:
Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

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第一作者机构: [1]Vascular Intervention Department, Yan’an Hospital Affiliated to Kunming Medical University, Kunming, China.
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