請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/18087
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 楊偉勛 | |
dc.contributor.author | I-Hui Wu | en |
dc.contributor.author | 吳毅暉 | zh_TW |
dc.date.accessioned | 2021-06-08T00:50:45Z | - |
dc.date.copyright | 2015-09-25 | |
dc.date.issued | 2015 | |
dc.date.submitted | 2015-07-02 | |
dc.identifier.citation | AbuRahma, A. F., Robinson, P. A., Boland, J. P., Lucente, F. C., Stuart, S. P., Neuman, S. S., Hall, M. D.,Hoak, B. A. Elective resection of 332 abdominal aortic aneurysms in a southern West Virginia community during a recent five-year period. Surgery,1991, 109(3 Pt 1), 244-251.
Acosta-Martin, A. E., Panchaud, A., Chwastyniak, M., Dupont, A., Juthier, F., Gautier, C., Jude, B. Amouyel, P. Goodlett, D. R, Pinet, F. Quantitative mass spectrometry analysis using PAcIFIC for the identification of plasma diagnostic biomarkers for abdominal aortic aneurysm. PLoS One,2011, 6(12), e28698. Acosta, S., Ogren, M., Bengtsson, H., Bergqvist, D., Lindblad, B., & Zdanowski, Z.Increasing incidence of ruptured abdominal aortic aneurysm: a population-based study J Vasc Surg,2006, 44(2), 237-243. Ahimastos, A. A., Aggarwal, A., D'Orsa, K. M., Formosa, M. F., White, A. J., Savarirayan, R., Dart, A. M.. Kingwell, B. A. Effect of perindopril on large artery stiffness and aortic root diameter in patients with Marfan syndrome: a randomized controlled trial. JAMA, 2007,298(13), 1539-1547 Aho, P. S., Niemi, T., Piilonen, A., Lassila, R., Renkonen, R., & Lepantalo, M. Interplay between coagulation and inflammation in open and endovascular abdominal aortic aneurysm repair--impact of intra-aneurysmal thrombus. Scand J Surg,2007, 96(3), 229-235. Anderson, J. L., Adam, D. J., Berce, M., & Hartley, D. E. Repair of thoracoabdominal aortic aneurysms with fenestrated and branched endovascular stent grafts. J Vasc Surg,2005, 42(4), 600-607. Armon, M. P., Wenham, P. W., Whitaker, S. C., Gregson, R. H., & Hopkinson, B. R. Common iliac artery aneurysms in patients with abdominal aortic aneurysms. Eur J Vasc Endovasc Surg,1998, 15(3), 255-257. Assar, A. N., & Zarins, C. K. Ruptured abdominal aortic aneurysm: a surgical emergency with many clinical presentations. Postgrad Med J, 2009,85(1003), 268-273. Baron, J. F., Mundler, O., Bertrand, M., Vicaut, E., Barre, E., Godet, G., Samama, C. M. Coriat, P.Kieffer, E.Viars, P. Dipyridamole-thallium scintigraphy and gated radionuclide angiography to assess cardiac risk before abdominal aortic surgery. N Engl J Med, 1994,330(10), 663-669. Bavaria, J. E., Appoo, J. J., Makaroun, M. S., Verter, J., Yu, Z. F., Mitchell, R. S., & Gore, T. A. G. I. Endovascular stent grafting versus open surgical repair of descending thoracic aortic aneurysms in low-risk patients: a multicenter comparative trial. J Thorac Cardiovasc Surg, 2007, 133(2), 369-377. Baxter, B. T., McGee, G. S., Flinn, W. R., McCarthy, W. J., Pearce, W. H., & Yao, J. S. Distal embolization as a presenting symptom of aortic aneurysms. 1990, Am J Surg, 1990, 160(2), 197-201. Beebe, H. G., Cronenwett, J. L., Katzen, B. T., Brewster, D. C., Green, R. M., & Vanguard Endograft Trial, I. Results of an aortic endograft trial: impact of device failure beyond 12 months. J Vasc Surg,2001, 33(2 Suppl), S55-63. Bickerstaff, L. K., Pairolero, P. C., Hollier, L. H., Melton, L. J., Van Peenen, H. J., Cherry, K. J., Joyce, J. W.,Lie, J. T. Thoracic aortic aneurysms: a population-based study. Surgery, 1982,92(6), 1103-1108. Black, S. A., Wolfe, J. H., Clark, M., Hamady, M., Cheshire, N. J., & Jenkins, M. P. Complex thoracoabdominal aortic aneurysms: endovascular exclusion with visceral revascularization. J Vasc Surg,2006, 43(6), 1081-1089; discussion 1089. Blankensteijn, J. D., de Jong, S. E., Prinssen, M., van der Ham, A. C., Buth, J., van Sterkenburg, S. M., Verhagen, H. J. Buskens, E. Grobbee, D. E.. Dutch Randomized Endovascular Aneurysm Management Trial, G. Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. N Engl J Med,2005, 352(23), 2398-2405. Bockler, D., Kotelis, D., Geisbusch, P., Hyhlik-Durr, A., Klemm, K., von Tengg-Kobligk, H., Kauczor, H. U. . Allenberg, J. R. Hybrid procedures for thoracoabdominal aortic aneurysms and chronic aortic dissections - a single center experience in 28 patients. J Vasc Surg,2008, 47(4), 724-732 Bown, M. J., Sutton, A. J., Bell, P. R., & Sayers, R. D. A meta-analysis of 50 years of ruptured abdominal aortic aneurysm repair. Br J Surg,2002, 89(6), 714-730. Bratby, M. J., Munneke, G. M., Belli, A. M., Loosemore, T. M., Loftus, I., Thompson, M. M., & Morgan, R. A. How safe is bilateral internal iliac artery embolization prior to EVAR? Cardiovasc Intervent Radiol, 2008,31(2), 246-253. Brown, L. C., & Powell, J. T. Risk factors for aneurysm rupture in patients kept under ultrasound surveillance. UK Small Aneurysm Trial Participants. Ann Surg, 1999,230(3) , 289-296; discussion 296-287. Bruen, K. J., Feezor, R. J., Daniels, M. J., Beck, A. W., & Lee, W. A. Endovascular chimney technique versus open repair of juxtarenal and suprarenal aneurysms. J Vasc Surg,2011, 53(4), 895-904; discussion 904-895. Brunkwall, J., Hauksson, H., Bengtsson, H., Bergqvist, D., Takolander, R., & Bergentz, S. E. Solitary aneurysms of the iliac arterial system: an estimate of their frequency of occurrence. J Vasc Surg,1989, 10(4), 381-384. Buth, J., & Laheij, R. J. Early complications and endoleaks after endovascular abdominal aortic aneurysm repair: report of a multicenter study. J Vasc Surg, 2000,31(1 Pt 1), 134-146. Cambria, R. P., Clouse, W. D., Davison, J. K., Dunn, P. F., Corey, M., & Dorer, D. Thoracoabdominal aneurysm repair: results with 337 operations performed over a 15-year interval. Ann Surg,2002, 236(4), 471-479; discussion 479. Chagpar, R. B., Harris, J. R., Lawlor, D. K., DeRose, G., & Forbes, T. L. Early mortality following endovascular versus open repair of ruptured abdominal aortic aneurysms. Vasc Endovascular Surg, 2010,44(8), 645-649. Cheng, S. W., Ting, A. C., Ho, P., & Poon, J. T. Aortic aneurysm morphology in Asians: features affecting stent-graft application and design. J Endovasc Ther, 2004, 11(6), 605-612. Chiesa, R., Melissano, G., Marrocco-Trischitta, M. M., Civilini, E., & Setacci, F. Spinal cord ischemia after elective stent-graft repair of the thoracic aorta. J Vasc Surg, 2005, 42(1), 11-17. Chiesa, R., Tshomba, Y., Melissano, G., Marone, E. M., Bertoglio, L., Setacci, F., & Calliari, F. M. Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery. J Vasc Surg, 2007, 45(6), 1128-1135. Chong, C. K., & How, T. V. Flow patterns in an endovascular stent-graft for abdominal aortic aneurysm repair. J Biomech, 2004, 37(1), 89-97. Chong, C. K., How, T. V., & Harris, P. L. Flow visualization in a model of a bifurcated stent-graft. J Endovasc Ther, 2005, 12(4), 435-445. Chou, H. W., Chan, C. Y., Wang, S. S., & Wu, I. H. How to size the main aortic endograft in a chimney procedure. J Thorac Cardiovasc Surg,2014, 147(3), 1099-1101. Chuter, T. A., Gordon, R. L., Reilly, L. M., Pak, L. K., & Messina, L. M. Multi-branched stent-graft for type III thoracoabdominal aortic aneurysm. J Vasc Interv Radiol, 2001, 12(3), 391-392. Clouse, W. D., Hallett, J. W., Schaff, H. V., Spittell, P. C., Rowland, C. M., Ilstrup, D. M., & Melton, L. J. Acute aortic dissection: Population-based incidence compared with degenerative aortic aneurysm rupture. Mayo Clinic Proceedings, 2004,79(2), 176-180. Conrad, M. F., & Cambria, R. P. Contemporary management of descending thoracic and thoracoabdominal aortic aneurysms: endovascular versus open. Circulation, 2008,117(6), 841-852. Coscas, R., Kobeiter, H., Desgranges, P., & Becquemin, J. P. Technical aspects, current indications, and results of chimney grafts for juxtarenal aortic aneurysms. J Vasc Surg, 2011, 53(6), 1520-1527. Coselli, J. S., Bozinovski, J., & LeMaire, S. A. Open surgical repair of 2286 thoracoabdominal aortic aneurysms. Ann Thorac Surg, 2007, 83(2), S862-864; discussion S890-862. Coselli, J. S., Conklin, L. D., & LeMaire, S. A. Thoracoabdominal aortic aneurysm repair: review and update of current strategies. Ann Thorac Surg, 2002,74(5), S1881-1884; discussion S1892-1888. Cowan, J. A., Jr., Dimick, J. B., Henke, P. K., Huber, T. S., Stanley, J. C., & Upchurch, G. R., Jr. Surgical treatment of intact thoracoabdominal aortic aneurysms in the United States: hospital and surgeon volume-related outcomes. J Vasc Surg, 2003,37(6), 1169-1174. Criado, F. J., Abul-Khoudoud, O. R., Domer, G. S., McKendrick, C., Zuzga, M., Clark, N. S., Monaghan, K. ,Barnatan, M. F. Endovascular repair of the thoracic aorta: lessons learned. Ann Thorac Surg,2005, 80(3), 857-863; discussion 863. Czerny, M., Cejna, M., Hutschala, D., Fleck, T., Holzenbein, T., Schoder, M., Lammer, J.Zimpfer, D.Ehrlich, M. Wolner, E. Grabenwoger, M. Stent-graft placement in atherosclerotic descending thoracic aortic aneurysms: midterm results. J Endovasc Ther, 2004, 11(1), 26-32. Dake, M. D., Miller, D. C., Mitchell, R. S., Semba, C. P., Moore, K. A., & Sakai, T. The 'first generation' of endovascular stent-grafts for patients with aneurysms of the descending thoracic aorta. J Thorac Cardiovasc Surg, 1998,116(5), 689-703; discussion 703-684. Dake, M. D., Miller, D. C., Semba, C. P., Mitchell, R. S., Walker, P. J., & Liddell, R. P. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med, 1994, 331(26), 1729-1734. Davenport, D. L., O'Keeffe, S. D., Minion, D. J., Sorial, E. E., Endean, E. D., & Xenos, E. S. Thirty-day NSQIP database outcomes of open versus endoluminal repair of ruptured abdominal aortic aneurysms. J Vasc Surg, 2010,51(2), 305-309 e301. Davies, R. R., Goldstein, L. J., Coady, M. A., Tittle, S. L., Rizzo, J. A., Kopf, G. S., & Elefteriades, J. A. Yearly rupture or dissection rates for thoracic aortic aneurysms: simple prediction based on size. Ann Thorac Surg,2002, 73(1), 17-27; discussion 27-18. Donas, K. P., Czerny, M., Guber, I., Teufelsbauer, H., & Nanobachvili, J. Hybrid open-endovascular repair for thoracoabdominal aortic aneurysms: current status and level of evidence. Eur J Vasc Endovasc Surg,2007, 34(5), 528-533. Donas, K. P., Pecoraro, F., Torsello, G., Lachat, M., Austermann, M., Mayer, D., Panuccio, G . Rancic, Z. Use of covered chimney stents for pararenal aortic pathologies is safe and feasible with excellent patency and low incidence of endoleaks. J Vasc Surg, 2012,55(3), 659-665. Dorffner, R., Thurnher, S., Polterauer, P., Kretschmer, G., & Lammer, J. Treatment of abdominal aortic aneurysms with transfemoral placement of stent-grafts: complications and secondary radiologic intervention. Radiology, 1997, 204(1), 79-86. Dotter, C. T., & Judkins, M. P. Transluminal Treatment of Arteriosclerotic Obstruction. Description of a New Technic and a Preliminary Report of Its Application. Circulation,1964, 30, 654-670. Egorova, N., Giacovelli, J., Greco, G., Gelijns, A., Kent, C. K., & McKinsey, J. F. National outcomes for the treatment of ruptured abdominal aortic aneurysm: comparison of open versus endovascular repairs. J Vasc Surg, 2008, 48(5), 1092-1100, 1100 e1091-1092. Elefteriades, J. A. Natural history of thoracic aortic aneurysms: Indications for surgery, and surgical versus nonsurgical risks. Ann Thorac Surg,2002, 74(5), S1877-S1880. Elefteriades, J. A. Thoracic aortic aneurysm: reading the enemy's playbook. World J Surg, 2008, 32(3), 366-374. Elefteriades, J. A., & Farkas, E. A. Thoracic aortic aneurysm clinically pertinent controversies and uncertainties. J Am Coll Cardiol, 2010,55(9), 841-857. Epstein, D. M., Sculpher, M. J., Manca, A., Michaels, J., Thompson, S. G., Brown, L. C., Powell, J. T.Buxton, M. J. Greenhalgh, R. M. Modelling the long-term cost-effectiveness of endovascular or open repair for abdominal aortic aneurysm. Br J Surg, 2008,95(2), 183-190. Fann, J. I., & Miller, D. C. Endovascular treatment of descending thoracic aortic aneurysms and dissections. Surg Clin North Am, 1999, 79(3), 551-574. Farahmand, P., Becquemin, J. P., Desgranges, P., Allaire, E., Marzelle, J., & Roudot-Thoraval, F. Is hypogastric artery embolization during endovascular aortoiliac aneurysm repair (EVAR) innocuous and useful? Eur J Vasc Endovasc Surg, 2008, 35(4), 429-435. Farber, M. A., & Ford, P. F. Hybrid procedures for thoracoabdominal aortic aneurysms. Semin Vasc Surg, 2009,22(3), 140-144. Ferrer, C., De Crescenzo, F., Coscarella, C., & Cao, P. Early experience with the Excluder(R) iliac branch endoprosthesis. J Cardiovasc Surg (Torino), 2014,55(5), 679-683. Flye, M. W., Choi, E. T., Sanchez, L. A., Curci, J. A., Thompson, R. W., Rubin, B. G., Geraghty, P. J, Sicard, G. A. Retrograde visceral vessel revascularization followed by endovascular aneurysm exclusion as an alternative to open surgical repair of thoracoabdominal aortic aneurysm. J Vasc Surg, 2004, 39(2), 454-458. Giles, K. A., Pomposelli, F., Hamdan, A., Wyers, M., Jhaveri, A., & Schermerhorn, M. L. Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair. J Vasc Surg, 2009, 49(3), 543-550; discussion 550-541. Gilling-Smith, G. L., Worswick, L., Knight, P. F., Wolfe, J. H., & Mansfield, A. O. Surgical repair of thoracoabdominal aortic aneurysm: 10 years' experience. Br J Surg, 1995, 82(5), 624-629. Go, M. R., Barbato, J. E., Rhee, R. Y., & Makaroun, M. S. What is the clinical utility of a 6-month computed tomography in the follow-up of endovascular aneurysm repair patients? J Vasc Surg,2008, 47(6), 1181-1186; discussion 1186-1187. Golledge, J., Tsao, P. S., Dalman, R. L., & Norman, P. E. Circulating markers of abdominal aortic aneurysm presence and progression. Circulation, 2008, 118(23), 2382-2392. Greenberg, R., Eagleton, M., & Mastracci, T. Branched endografts for thoracoabdominal aneurysms. J Thorac Cardiovasc Surg,2010, 140(6 Suppl), S171-178. Greenberg, R. K., Clair, D., Srivastava, S., Bhandari, G., Turc, A., Hampton, J., Popa, M. Green, R.,Ouriel, K. Should patients with challenging anatomy be offered endovascular aneurysm repair? J Vasc Surg, 2003, 38(5), 990-996. Greenberg, R. K., Haulon, S., Lyden, S. P., Srivastava, S. D., Turc, A., Eagleton, M. J., Sarac, T. P ,Ouriel, K. Endovascular management of juxtarenal aneurysms with fenestrated endovascular grafting. J Vasc Surg,2004, 39(2), 279-287. Greenberg, R. K., West, K., Pfaff, K., Foster, J., Skender, D., Haulon, S.Sereika, J. Geiger, L.Lyden, S. P.Clair, D.,Svensson, L. Lytle, B. Beyond the aortic bifurcation: branched endovascular grafts for thoracoabdominal and aortoiliac aneurysms. J Vasc Surg, 2006, 43(5), 879-886; discussion 886-877. Greenhalgh, R. M., Brown, L. C., Kwong, G. P., Powell, J. T., Thompson, S. G., & participants, E. t. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet, 2004, 364(9437), 843-848. Gruntzig, A., & Hopff, H. [Percutaneous recanalization after chronic arterial occlusion with a new dilator-catheter (modification of the Dotter technique) (author's transl)]. Dtsch Med Wochenschr,1974, 99(49), 2502-2510, 2511. Harkin, D. W., Dillon, M., Blair, P. H., Ellis, P. K., & Kee, F. Endovascular ruptured abdominal aortic aneurysm repair (EVRAR): a systematic review. Eur J Vasc Endovasc Surg, 2007, 34(6), 673-681. Hayter, C. L., Bradshaw, S. R., Allen, R. J., Guduguntla, M., & Hardman, D. T. Follow-up costs increase the cost disparity between endovascular and open abdominal aortic aneurysm repair. J Vasc Surg,2005, 42(5), 912-918. Huang SC, Liang PC, Wang SS, Kao HL, Chen YS, Ko WJ, Liu HM, Liau CS, Lin FY. Initial experience with the AneuRx Stent Graft for the treatment of infrarenal abdominal aortic aneurysm. J Formos Med Assoc. 2005,104(10),768-71. Hirsch, A. T., Haskal, Z. J., Hertzer, N. R., Bakal, C. W., Creager, M. A., Halperin, J. L., Hiratzka, L. F.,Murphy, W. R.,Olin, J. W.,Puschett, J. B.,Rosenfield, K. A.,Sacks, D.,Stanley, J. C.,Taylor, L. M., Jr.White, C. J.,White, J.,White, R. A.,Antman, E. M.,Smith, S. C., Jr.,Adams, C. D.,Anderson, J. L.,Faxon, D. P.,Fuster, V.,Gibbons, R. J.,Halperin, J. L.,Hiratzka, L. F.,Hunt, S. A.,Jacobs, A. K.,Nishimura, R.,Ornato, J. P.,Page, R. L.,Riegel, B.,American Association for Vascular, Surgery Society for Vascular, Surgery Society for Cardiovascular, Angiography Interventions, Society for Vascular, Medicine Biology, Society of Interventional, Radiology Acc Aha Task Force on Practice Guidelines American Association of, Cardiovascular Pulmonary, Rehabilitation National Heart, Lung Blood, Institute, Society for Vascular, Nursing TransAtlantic Inter-Society, Consensus Vascular Disease, Foundation ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. J Am Coll Cardiol,2006, 47(6), 1239-1312. Howell, B. A., Kim, T., Cheer, A., Dwyer, H., Saloner, D., & Chuter, T. A. Computational fluid dynamics within bifurcated abdominal aortic stent-grafts. J Endovasc Ther, 2007, 14(2), 138-143. Ivancev, K., Malina, M., Lindblad, B., Chuter, T. A., Brunkwall, J., Lindh, M., Nyman, U. Risberg, B. Abdominal aortic aneurysms: experience with the Ivancev-Malmo endovascular system for aortomonoiliac stent-grafts. J Endovasc Surg, 1997,4(3), 242-251. Jacobowitz, G. R., Lee, A. M., & Riles, T. S. Immediate and late explantation of endovascular aortic grafts: the endovascular technologies experience. J Vasc Surg, 1999, 29(2), 309-316. Jiao, L. R., Ramanathan, A., & Ackroyd, J. An acute lower limb ischaemia with an unusual cause. Eur J Vasc Endovasc Surg, 1998, 15(6), 547-549. Johnston, K. W., Rutherford, R. B., Tilson, M. D., Shah, D. M., Hollier, L., & Stanley, J. C. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg,1991, 13(3), 452-458. Johnston, K. W., & Scobie, T. K. Multicenter prospective study of nonruptured abdominal aortic aneurysms. I. Population and operative management. J Vasc Surg,1988, 7(1), 69-81. Jonker, F. H. W., Trimarchi, S., Verhagen, H. J. M., Moll, F. L., Sumpio, B. E., & Muhs, B. E. Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm. J Vasc Surg,2010, 51(4), 1026-1032. Karch, L. A., Hodgson, K. J., Mattos, M. A., Bohannon, W. T., Ramsey, D. E., & McLafferty, R. B. Adverse consequences of internal iliac artery occlusion during endovascular repair of abdominal aortic aneurysms. J Vasc Surg, 2000,32(4), 676-683. Karthikesalingam, A., Hinchliffe, R. J., Holt, P. J., Boyle, J. R., Loftus, I. M., & Thompson, M. M. Endovascular aneurysm repair with preservation of the internal iliac artery using the iliac branch graft device. Eur J Vasc Endovasc Surg, 2010, 39(3), 285-294. Kazmers, A., Jacobs, L., Perkins, A., Lindenauer, S. M., & Bates, E. Abdominal aortic aneurysm repair in Veterans Affairs medical centers. J Vasc Surg, 1996, 23(2), 191-200. Kohno, T., Anzai, T., Shimizu, H., Kaneko, H., Sugano, Y., Yamada, S., Yoshikawa, T. Ishizaka, A. Yozu, R. Ogawa, S. Impact of serum high-mobility group box 1 protein elevation on oxygenation impairment after thoracic aortic aneurysm repair. Heart Vessels, 2011,26(3), 306-312. Koullias, G. J., Ravichandran, P., Korkolis, D. P., Rimm, D. L., & Elefteriades, J. A. Increased tissue microarray matrix metalloproteinase expression favors proteolysis in thoracic aortic aneurysms and dissections. Ann Thorac Surg,2004, 78(6), 2106-2110; discussion 2110-2101. Krauss, M., Ritter, W., Bar, I., Heilberger, P., Schunn, C., & Raithel, D. [Imaging of aortic endoprostheses and their complications]. Rofo, 1998, 169(4), 388-396. Krievins, D. K., Holden, A., Savlovskis, J., Calderas, C., Donayre, C. E., Moll, F. L., . Katzen, B.,Zarins, C. K. EVAR using the Nellix Sac-anchoring endoprosthesis: treatment of favourable and adverse anatomy. Eur J Vasc Endovasc Surg, 2011, 42(1), 38-46. Lam, C. R., & Aram, H. H. Resection of the descending thoracic aorta for aneurysm; a report of the use of a homograft in a case and an experimental study. Ann Surg,1951, 134(4), 743-752. Lederle, F. A., Freischlag, J. A., Kyriakides, T. C., Padberg, F. T., Jr., Matsumura, J. S., Kohler, T. R., Lin, P. H.,Jean-Claude, J. M.,Cikrit, D. F.,Swanson, K. M.,Peduzzi, P. N. Open Versus Endovascular Repair Veterans Affairs Cooperative Study, G. Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. JAMA,2009, 302(14), 1535-1542. Lederle, F. A., Johnson, G. R., Wilson, S. E., Chute, E. P., Hye, R. J., Makaroun, M. S., Barone, G. W.,Bandyk, D.,Moneta, G. L.,Makhoul, R. G. The aneurysm detection and management study screening program: validation cohort and final results. Aneurysm Detection and Management Veterans Affairs Cooperative Study Investigators. Arch Intern Med,2000, 160(10), 1425-1430. Lee, J. M., Lim, C., Youn, T. J., Chun, E. J., Choi, S. I., Cho, Y. S., Cho, G. Y. Chae, I. H.,Park, K. H.,Choi, D. J. Candidates and major determinants for endovascular repair of abdominal aortic aneurysms in Korean patients. Heart Vessels,2013, 28(2), 215-221. Lee, W. A., Brown, M. P., Martin, T. D., Seeger, J. M., & Huber, T. S. Early results after staged hybrid repair of thoracoabdominal aortic aneurysms. J Am Coll Surg, 2007,205(3), 420-431. Lee, W. A., Nelson, P. R., Berceli, S. A., Seeger, J. M., & Huber, T. S. Outcome after hypogastric artery bypass and embolization during endovascular aneurysm repair. J Vasc Surg, 2006, 44(6), 1162-1168; discussion 1168-1169. Limet, R., Sakalihassan, N., & Albert, A. Determination of the expansion rate and incidence of rupture of abdominal aortic aneurysms. J Vasc Surg, 1991,14(4), 540-548. Lindholt, J. S., Ashton, H. A., Heickendorff, L., & Scott, R. A. Serum elastin peptides in the preoperative evaluation of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg,2001, 22(6), 546-550. Lindholt, J. S., Heickendorff, L., Henneberg, E. W., & Fasting, H. Serum-elastin-peptides as a predictor of expansion of small abdominal aortic aneurysms. Eur J Vasc Endovasc Surg, 1997, 14(1), 12-16. Lindholt, J. S., Heickendorff, L., Vammen, S., Fasting, H., & Henneberg, E. W. Five-year results of elastin and collagen markers as predictive tools in the management of small abdominal aortic aneurysms. Eur J Vasc Endovasc Surg, 2001,21(3), 235-240. Lindholt, J. S., Sandermann, J., Bruun-Petersen, J., Nielsen, J. O., & Fasting, H. Fatal late multiple emboli after endovascular treatment of abdominal aortic aneurysm. Case report. Int Angiol, 1998,17(4), 241-243. Lobato, A. C. Sandwich technique for aortoiliac aneurysms extending to the internal iliac artery or isolated common/internal iliac artery aneurysms: a new endovascular approach to preserve pelvic circulation. J Endovasc Ther, 2011, 18(1), 106-111. Lobato, A. C., & Camacho-Lobato, L. The sandwich technique to treat complex aortoiliac or isolated iliac aneurysms: results of midterm follow-up. J Vasc Surg, 2013,57(2 Suppl), 26S-34S. Lorelli, D. R., Jean-Claude, J. M., Fox, C. J., Clyne, J., Cambria, R. A., Seabrook, G. R., & Towne, J. B. Response of plasma matrix metalloproteinase-9 to conventional abdominal aortic aneurysm repair or endovascular exclusion: implications for endoleak. J Vasc Surg, 2002,35(5), 916-922. Maleux, G., Koolen, M., Heye, S., Heremans, B., & Nevelsteen, A. Mural thrombotic deposits in abdominal aortic endografts are common and do not require additional treatment at short-term and midterm follow-up. J Vasc Interv Radiol, 2008, 19(11), 1558-1562. Masuda, E. M., Caps, M. T., Singh, N., Yorita, K., Schneider, P. A., Sato, D. T., Eklof, B. Nelken, N. A, Kistner, R. L.Effect of ethnicity on access and device complications during endovascular aneurysm repair. J Vasc Surg,2004, 40(1), 24-29. May, J., White, G. H., Waugh, R., Ly, C. N., Stephen, M. S., Jones, M. A., & Harris, J. P. Improved survival after endoluminal repair with second-generation prostheses compared with open repair in the treatment of abdominal aortic aneurysms: a 5-year concurrent comparison using life table method. J Vasc Surg, 2001, 33(2 Suppl), S21-26. May, J., White, G. H., Yu, W., Ly, C. N., Waugh, R., Stephen, M. S., Arulchelvam, M. Harris, J. P. Concurrent comparison of endoluminal versus open repair in the treatment of abdominal aortic aneurysms: analysis of 303 patients by life table method. J Vasc Surg, 1998, 27(2), 213-220; discussion 220-211. Mehta, M., Veith, F. J., Ohki, T., Cynamon, J., Goldstein, K., Suggs, W. D., Wain, R. A.,Chang, D. W.,Friedman, S. G.,Scher, L. A.,Lipsitz, E. C. Unilateral and bilateral hypogastric artery interruption during aortoiliac aneurysm repair in 154 patients: a relatively innocuous procedure. J Vasc Surg,2001, 33(2 Suppl), S27-32. Moll, F. L., Powell, J. T., Fraedrich, G., Verzini, F., Haulon, S., Waltham, M., van Herwaarden, J. A.,Holt, P. J.,van Keulen, J. W.,Rantner, B.,Schlosser, F. J.,Setacci, F.,Ricco, J. B.,European Society for Vascular, Surgery Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg, 2011,41 Suppl 1, S1-S58. Monaco, M., Stassano, P., Di Tommaso, L., & Iannelli, G. Response of plasma matrix metalloproteinases and tissue inhibitor of metalloproteinases to stent-graft surgery for descending thoracic aortic aneurysms. J Thorac Cardiovasc Surg, 2007,134(4), 925-931. Moore, J. E., Jr., & Ku, D. N. Pulsatile velocity measurements in a model of the human abdominal aorta under resting conditions. J Biomech Eng, 1994,116(3), 337-346. Moore, J. E., Jr., Ku, D. N., Zarins, C. K., & Glagov, S. Pulsatile flow visualization in the abdominal aorta under differing physiologic conditions: implications for increased susceptibility to atherosclerosis. J Biomech Eng, 1992,114(3), 391-397. Mosquera Arochena, N., Rodriguez Feijoo, G., Carballo Fernandez, C., Molina Herrero, F., Fernandez Lebrato, R., Barrios Castro, A., & Garcia Fernandez, I. Use of modified Sandwich-graft technique to preserve hypogastric artery in EVAR treatment of complex aortic aneurysm anatomy. J Cardiovasc Surg (Torino), 2011, 52(5), 643-649. Moulakakis, K. G., Mylonas, S. N., Avgerinos, E., Papapetrou, A., Kakisis, J. D., Brountzos, E. N., & Liapis, C. D. The chimney graft technique for preserving visceral vessels during endovascular treatment of aortic pathologies. J Vasc Surg,2012, 55(5), 1497-1503. Murphy, S. K., & Jirtle, R. L. Imprinting evolution and the price of silence. Bioessays, 2003,25(6), 577-588. Oderich, G. S., & Ricotta, J. J., 2nd. Modified fenestrated stent grafts: device design, modifications, implantation, and current applications. Perspect Vasc Surg Endovasc Ther, 2009, 21(3), 157-167. Ohki, T., Veith, F. J., Sanchez, L. A., Marin, M. L., Cynamon, J., & Parodi, J. C. Varying strategies and devices for endovascular repair of abdominal aortic aneurysms. Semin Vasc Surg, 1997, 10(4), 242-256. Palmaz, J. C., Richter, G. M., Noldge, G., Kauffmann, G. W., & Wenz, W. [Intraluminal Palmaz stent implantation. The first clinical case report on a balloon-expanded vascular prosthesis]. Radiologe, 1987, 27(12), 560-563. Parodi, J. C. Endovascular repair of abdominal aortic aneurysms and other arterial lesions. J Vasc Surg, 1995, 21(4), 549-555; discussion 556-547. Parodi, J. C., Palmaz, J. C., & Barone, H. D. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg,1991, 5(6), 491-499. participants, E. t. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet, 2005,365(9478), 2179-2186. Pedersen, E. M., Sung, H. W., & Yoganathan, A. P. Influence of abdominal aortic curvature and resting versus exercise conditions on velocity fields in the normal abdominal aortic bifurcation. J Biomech Eng, 1994, 116(3), 347-354. Pedersen, E. M., Yoganathan, A. P., & Lefebvre, X. P. Pulsatile flow visualization in a model of the human abdominal aorta and aortic bifurcation. J Biomech, 1992, 25(8), 935-944. Peppelenbosch, N., Buth, J., Harris, P. L., van Marrewijk, C., Fransen, G., & Collaborators, E. Diameter of abdominal aortic aneurysm and outcome of endovascular aneurysm repair: does size matter? A report from EUROSTAR. J Vasc Surg, 2004, 39(2), 288-297. Petersen, E., Gineitis, A., Wagberg, F., & Angquist, K. A. Serum levels of elastin-derived peptides in patients with ruptured and asymptomatic abdominal aortic aneurysms. Eur J Vasc Endovasc Surg, 2001, 22(1), 48-52. Prinssen, M., Verhoeven, E. L., Buth, J., Cuypers, P. W., van Sambeek, M. R., Balm, R., Buskens, E.,Grobbee, D. E.,Blankensteijn, J. D.,Dutch Randomized Endovascular Aneurysm Management Trial, Group A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med, 2004, 351(16), 1607-1618. Pua, U., Tan, K., Rubin, B. B., Sniderman, K. W., Rajan, D. K., Oreopoulos, G. D., & Lindsey, T. F. Iliac branch graft in the treatment of complex aortoiliac aneurysms: early results from a North American institution. J Vasc Interv Radiol, 2011, 22(4), 542-549. Quinones-Baldrich, W. J. Descending thoracic and thoracoabdominal aortic aneurysm repair: 15-year results using a uniform approach. Ann Vasc Surg,2004, 18(3), 335-342. Rand, E., & Cedar, H. Regulation of imprinting: A multi-tiered process. J Cell Biochem, 2003, 88(2), 400-407. Rayt, H. S., Bown, M. J., Lambert, K. V., Fishwick, N. G., McCarthy, M. J., London, N. J., & Sayers, R. D. Buttock claudication and erectile dysfunction after internal iliac artery embolization in patients prior to endovascular aortic aneurysm repair. Cardiovasc Intervent Radiol, 2008, 31(4), 728-734. Ricci, C., Ceccherini, C., Cini, M., Vigni, F., Leonini, S., Tommasino, G., Muzzi, L. Tucci, E.,Benvenuti, A.,Neri, E. Single-center experience and 1-year follow-up results of 'sandwich technique' in the management of common iliac artery aneurysms during EVAR. Cardiovasc Intervent Radiol, 2012,35(5), 1195-1200. Richter, G. M., Palmaz, J. C., Noeldge, G., & Tio, F. Relationship between blood flow, thrombus, and neointima in stents. J Vasc Interv Radiol,1999, 10(5), 598-604. Rieu, R., & Pelissier, R. In vitro study of a physiological type flow in a bifurcated vascular prosthesis. J Biomech,1991, 24(10), 923-933. Rigberg, D. A., McGory, M. L., Zingmond, D. S., Maggard, M. A., Agustin, M., Lawrence, P. F., & Ko, C. Y. Thirty-day mortality statistics underestimate the risk of repair of thoracoabdominal aortic aneurysms: a statewide experience. J Vasc Surg, 2006, 43(2), 217-222; discussion 223. Rutledge, R., Oller, D. W., Meyer, A. A., & Johnson, G. J., Jr. A statewide, population-based time-series analysis of the outcome of ruptured abdominal aortic aneurysm. Ann Surg, 1996, 223(5), 492-502; discussion 503-495. Sadat, U., Boyle, J. R., Walsh, S. R., Tang, T., Varty, K., & Hayes, P. D. Endovascular vs open repair of acute abdominal aortic aneurysms--a systematic review and meta-analysis. J Vasc Surg, 2008, 48(1), 227-236. Safi, H. J., Estrera, A. L., Miller, C. C., Huy | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/18087 | - |
dc.description.abstract | 本篇論文主要是探討胸腹主動脈覆膜支架治療主動脈瘤的臨床幾何學的臨床運用。內容包括(1)腹主動脈血管內支架植入後支架內血栓沉積物(2)破裂腹主動脈血管瘤(3)胸腹主動脈瘤(4)複雜性腹主動脈及骼動脈瘤,以及(5)煙囪式置放術中決定主要主動脈內套膜支架尺寸的方法
(1)腹主動脈血管內支架植入後支架內血栓沉積物 研究目的:探究腹主動脈內套膜支架的支架內血栓沉積物之發生率與危險因子。 研究方法:回溯性檢視51名於2002年至2008年間接受經股植入分叉血管支架之腹主動脈瘤病患(44名男性;平均年齡76.3歲,全距:63-90歲)的臨床紀錄。病患於術後接受電腦斷層評估,執行時間為術後第1、3、6及12個月,此後每年一次。抗血小板藥物使用相關之支架內血栓、術前動脈瘤內之壁血栓、支架主體�雙側肢截面積比值以及主體長度皆經過評估。 研究結果:平均超過10個月的追蹤顯示,51名病患中有8名(15.6%,95%信賴區間:8.2-28)出現管腔內血栓沉積物,血栓形成的最初徵候平均發生於內套膜支架植入後9.8個月(全距:1-24個月),支架內血栓沉積物與術前壁血栓形成(p = 0.38)或術後抗血小板或抗凝血藥物使用(p = 0.40)無關聯性。然而,其與支架主體�雙側肢截面積比值以及主體長度則有明顯關聯性(分別為p = 0.04及p = 0.01)。有三例因支架扭曲造成的支架肢體阻塞,此三例病患於阻塞前之電腦斷層掃描未測得支架內血栓。一名病患在電腦斷層掃瞄追蹤測得支架內主體血栓後4個月,其左側淺股動脈之遠端出現栓塞。追蹤期間沒有個案的支架管腔內血栓沉積物完全清除。 結論:此短期經驗證實,發現腹主動脈內套膜支架內有血栓沉積物相當普遍。血栓沈積大多受到主動脈血管支架的幾何構造影響,主體直徑較寬且肢體較小及主體較大者比較容易發生。大部分血栓皆無臨床症狀而不需要進一步治療 (2)破裂腹主動脈血管瘤 針對一中國人族群探究緊急性血管內修復是否適合用於替代開放性動脈瘤修復術治療解剖構造合適之已破裂腹主動脈瘤,以回溯性分式分析2005至2012年在國立臺灣大學附設醫院接受開放性手術或緊急血管內手術修復術的36名破裂腹主動脈血管瘤病患。總計有35名病患(97.2%)接受治療,其中20名病患(57.1%)接受開放性手術治療,15名(42.9%)接受緊急血管內手術修復術治療。整體30天存活率為77.1%,兩組的30天死亡率(開放性手術15.0%比緊急血管內手術修復術33.3%,p = 0.201)與中期死亡率(開放性手術20.0%比緊急血管內手術修復術 46.7%,p = 0.093)並無明顯差異。單變數分析顯示,在兩種修復手術中,破裂至腹膜腔內出血(p<0.001)、術前休克(p = 0.001)及女性(p = 0.016)與30天死亡率較高有關,破裂至腹膜腔內出血(p = 0.012)及術前休克(p = 0.001)則與中期死亡率較高有關。多變數分析顯示破裂至腹膜腔內出血與30天死亡率(危險比例:26.0,95% 信賴區間:2.2–295.6,p = 0.009)及中期死亡率(危險比例:13.1,95%信賴區間:1.2–37.6,p = 0.032)較高有關。本研究顯示,在破裂腹主動脈血管瘤病患方面,緊急血管內手術修復術與開放性手術組的30天死亡率與中期死亡率並無差異,對中國人族群而言,緊急血管內手術修復術對解剖構造合適之破裂腹主動脈血管瘤病患可能是可行的替代治療。 (3)胸腹主動脈瘤 研究背景:開放性胸腹主動脈瘤修復術的致病率與致死率皆高。本研究檢視了本院高風險病患的複合型胸腹主動脈瘤修復術中期預後。 研究方法:我們回溯分析了2007年6月至2011年6月間接受一階式複合型胸腹主動脈瘤修復術之病患的臨床資料。本研究呈現我們在單一中心為10名複雜性胸腹主動脈病變病患執行一階段式複合型內臟動脈處置程序的經驗。其中9名病患為男性、1名為女性,平均年齡為65.7歲。平均術後《歐洲心臟手術危險評估》分數為34.1%。研究結果:手術完成時之技術成功率為100%。並未因主動脈事件而放棄任何手術。本研究的30天死亡率為10%。整體嚴重手術前後併發症發生率為20%。嚴重併發症包括需要永久性支持之腎功能不全(1名病患,10%)以及截癱(1名病患,10%)。追蹤期中位數為20.1個月(全距0.3-39個月),整體存活率為70%。主要內臟血管移植物通暢率為96.8%(32/33)。僅有1例腎動脈支架阻塞。 結論:選定接受一階段式複合型修復術之高風險胸腹主動脈瘤病患的中期結果令人振奮。當開放性手術有害且無法使用分支血管支架時,複合型修復術是可行的替代治療方案。然而,必須以較大型研究世代進行較長期的追蹤,才能夠獲得主動脈支架與內臟動脈重建之耐久性的相關資料 (4)複雜性腹主動脈及骼動脈瘤 研究目的:發表我們以翻山煙囪技術保留腹主動脈瘤及骼總動脈瘤病患之骼內動脈的中期結果。 研究方法:將2012年5月及2014年1月間所有先後於我們醫學中心接受選擇性血管內動脈瘤修復術及翻山煙囪技術保留骼內動脈的複雜性腹主動脈及骼動脈瘤病患及腹主動脈瘤伴隨短骼總動脈之病患納入本研究。電腦斷層血管攝影及複合型超音波追蹤評估於術後第1、6及12個月執行,其後每年執行一次。 研究結果:14名病患(100%男性,平均年齡77.3歲)平均接受14.3個月的追蹤(全距:6-21個月),總計執行14次翻山煙囪技術。成功保留骼內動脈且無第I型或第III型內漏的技術成功率為100%。在平均14.3個月的追蹤中,初期通暢率為92.8%。無早期或晚期手術相關死亡。在17例骼動脈瘤中,3例(17.7%)動脈瘤囊顯示直徑明顯縮短(至少5 mm),10例直徑縮短小於5 mm(58.9%),4例直徑無變化(23.4%)。 結論:翻山煙囪技術是簡單安全的保留骼內動脈替代性血管內重建技術,技術成功率高,且中期通暢率令人滿意。 (5) 煙囪式置放術中決定主要主動脈內套膜支架尺寸的方法 在近腎、腎旁或胸腹主動脈瘤等難以處理的位置執行主動脈血管內修復的方法有限。為了處理此難題,煙囪置放術應運而生,且已廣泛施用。然而,對於如何選擇與內臟血管煙囪支架平行之主要主動脈支架的合適尺寸、以使兩者可並存於原生主動脈中,目前並無共識,一切僅憑外科醫師的個人經驗與偏好。等周不等式顯示,在所有固定周長之平面內的所有封閉曲線中,圓形所包圍的面積為最大。在本研究中,我們根據等周不等式提出了一個數學公式,以便為已知直徑的主動脈與內臟煙囪支架選擇要置入主體覆膜支架其內的尺寸, R'≥√((1.44R^2-r^2)) 其中,R’為主體覆膜支架之半徑,R為主動脈之半徑,而r為內臟煙囪支架之半徑。 | zh_TW |
dc.description.abstract | This thesis mainly focuses on analysis of clinical geometry of thoracic and abdominal aortic stent grafts in the treatment of aortic aneurysms. Including (1) The Significance of Endograft Geometry on the Incidence of Intraprosthetic Thrombus Deposits after Abdominal Endovascular Grafting (2) Outcomes following endovascular or open repair for ruptured abdominal aortic aneurysm in a Chinese population (3) One-stage Hybrid Repair to Thoracoabdominal Aortic Aneurysm (4) Crossover Chimney Technique to Preserve the Internal Iliac Artery During Endovascular Repair of Iliac or Aortoiliac Aneurysms, and (5) How to size the main aortic endograft in a chimney procedure
(1) The Significance of Endograft Geometry on the Incidence of Intraprosthetic Thrombus Deposits after Abdominal Endovascular Grafting Objectives: To examine the incidence and risk factors of intraprosthetic throm- botic deposits in abdominal aortic endografts. Methods: The clinical records of 51 patients (44 males; mean age 76.3 years, range: 63-90years) with abdominal aortic aneurysm treated with transfemoral implantation of bifurcated stent graft between the years 2002 and 2008 were retrospectively reviewed. Patients underwent three-phase helical computed tomographic (CT) examinations at 1-, 3-, 6- and 12-month intervals and then annually. The formation of intraprosthetic thrombus associated with use of anti-platelet, preoperative mural thrombus in the aneurysm, ratio of cross-sectional area between the mainbody and bilateral limb grafts and length of mainbody were evaluated. Results: Over a 10-month mean follow-up, intraluminal deposits of thrombotic material were observed in eight of 51 patients (15.6%, 95% confidence interval: 8.2-28). The first signs of thrombus formation occurred on average 9.8 months after endografting (range: 1-24 months).Intraprosthetic thrombotic deposits was not related to preoperative mural thrombus formation(p value: 0.38) or postoperative anti-platelet or anticoagulation medication (p﹦0.40). However, it was significantly related to the ratio of the cross-sectional area between the mainbody and the bilateral limb grafts and the length of mainbody (p﹦0.04 and p﹦0.01). There were three graft limbs occlusion owing to kinking with no intraprosthetic thrombus detected on CT scans taken prior to occlusion. One patient developed distal left proximal superior femoral artery embolisation 4 months after detectable intraprosthetic mainbody thrombus in a CT scan follow-up. In no case did the thrombotic deposits clear completely from the prosthesis lumen during follow-up. (2) Outcomes following endovascular or open repair for ruptured abdominal aortic aneurysm in a Chinese population 36 patients with RAAA undergoing either OAR or eEVAR in National Taiwan University Hospital from 2005 to 2012 were analyzed retrospectively. Thirty-five (97.2 %) patients were treated. Among them, 20 (57.1 %) were treated by OAR and 15 (42.9 %) by eEVAR. The overall 30-day survival rate was 77.1 %. There was no significant difference in 30-day mortality rate (OAR 15.0 % vs.eEVAR 33.3 %, p = 0.201) and midterm mortality rate (OAR 20.0 % vs. eEVAR 46.7 %, p = 0.093) between these two groups. On univariate analysis, free peritoneal rupture (p =0.001), pre-operative shock (p = 0.001) and female gender (p = 0.016) are related to a higher 30-day mortality rate, while free peritoneal rupture (p = 0.012) and pre-operative shock (p = 0.030) are associated with a higher midterm mortality rate in both repair techniques. On multivariate analysis, free peritoneal rupture was associated with higher 30-day (OR 26.0, 95 % CI 2.2–295.6,p = 0.009) and midterm (OR 13.1, 95 % CI 1.2–37.6,p = 0.032) mortality rates. In patients with RAAA, there is no significant difference in 30-day mortality and midterm mortality between eEVAR and OAR groups in our study. eEVAR could be an alternative therapy for anatomically suitable RAAA in a Chinese population. (3) One-stage Hybrid Repair to Thoracoabdominal Aortic Aneurysm This study represents our experience with 10 patients at a single center who underwent 1-stage visceral hybrid procedures for complex thoracoabdominal aortic pathologies. There were 9 men and 1 woman with a median age of 65.7 years. The average preoperative European System for Cardiac Operative Risk Evaluation II score was 34.1%. The technical success rate with completion was 100%. No procedure was abandoned because of any aortic event. The 30-day mortality rate in this study was 10%. Overall major peri-operative complication rates were 20%. Major complications included renal impairment requiring permanent support in 1 patient (10%) and paraplegia in 1 patient (10%). At a median follow-up of 20.1 months (range, 0.3e39 months), the overall survival rate was 70%. The primary graft patency rate was 96.8% (32/33). Only 1 renal artery graft was occluded. The midterm results in selected high-risk patients with TAAA undergoing 1-stage hybrid repair were encouraging. When open repair is hazardous and branched stent grafting is not an option, hybrid repair is a viable treatment alternative. (4) Crossover Chimney Technique to Preserve the Internal Iliac Artery During Endovascular Repair of Iliac or Aortoiliac Aneurysms Between May 2012 and January 2014, 14 consecutive patients (mean age 77.3 years; all men) with 17 AIA, isolated CIAAs, or abdominal aortic aneurysms with short CIAs underwent elective endovascular aneurysm repair (EVAR) with the crossover chimney technique to preserve the IIA. Follow-up assessment, including computed tomographic angiography or duplex ultrasound, was performed at 1, 6, and 12 months and annually thereafter. Technical success, defined as successful preservation of IIA without intraoperative type I or III endoleak, was 100%. Over a mean 14.3 months (range 6–21), primary patency was 92.8%. There was no early or late procedure-related mortality. Among the 17 iliac aneurysms excluded, the sac diameter significantly (at least 5 mm) decreased in 3, decreased <5 mm in 10, and did not change in 4. The crossover chimney technique is a simple and safe alternative for IIA endovascular revascularization with high technical success and acceptable midterm patency. (5) How to size the main aortic endograft in a chimney procedure The application of endovascular aortic repair in difficult circumstances, such as juxtarenal, pararenal, or thoracoabdominal aortic aneurysms is limited. To address this difficulty, the chimney technique has been expanded and applied widely. Other than the surgeon’s individual experience and preference, however, there is currently no consensus regarding how to choose the appropriate size for the main aortic graft (MAG) parallel to the visceral chimney graft (CG) so that they accommodate each other properly inside the native aorta. Isoperimetric inequality states that among all closed curves in the plane of a fixed perimeter, a circle maximizes the area of its enclosed region. In this study, we propose a mathematical formula that was based on isoperimetric inequality to select the size of the MAG inside a known diameter of the native aorta and visceral CG: R'≥√((1.44R^2-r^2)) where R’is the radius of the MAG, R is the radius of the native aorta, and r is the radius of the CG. | en |
dc.description.provenance | Made available in DSpace on 2021-06-08T00:50:45Z (GMT). No. of bitstreams: 1 ntu-104-D94421102-1.pdf: 3419619 bytes, checksum: 6cdb482c600f5a37b025c4e23359f34b (MD5) Previous issue date: 2015 | en |
dc.description.tableofcontents | 口試委員會審定書.............................................................................................................I
誌謝...................................................................................................................................II 中文摘要...........................................................................................................................III 英文摘要.........................................................................................................................VII 目錄.................................................................................................................................XI 圖目錄............................................................................................................................XVI 表目錄..........................................................................................................................XVII 博士論文內容 第一章 緒論.....................................................................................................................1 1-1:第一節背景..........................................................................................................1 1-1-1降胸主動脈瘤及胸腹主動脈瘤.............................................................1 1-1-2腹主動脈瘤.............................................................................................3 1-1-3手術治療.................................................................................................3 1-1-4臺灣現況.................................................................................................5 1-2:第二節:文獻回顧:血管腔內支架移植物的發展..............................................7 1-3:第三節: 血管腔內支架移植物及生物標記於主動脈瘤疾病的臨床運用.......9 1-3-1腹主動脈血管內支架植入後支架內血栓沉積物.................................9 1-3-2破裂腹主動脈血管瘤.............................................................................9 1-3-3胸腹主動脈瘤.......................................................................................10 1-3-4複雜性腹主動脈及骼動脈瘤...............................................................11 1-3-5煙囪式置放術中決定主要主動脈內套膜支架尺寸的方法...............12 第二章 研究方法與材料...............................................................................................14 2-1:第一節 腹主動脈血管內支架植入後支架內血栓沉積物...................14 2-1-1 研究設計....................................................................................14 2-1-2 統計分析....................................................................................15 2-2:第二節 破裂腹主動脈血管瘤...............................................................15 2-2-1 研究設計....................................................................................15 2-2-2 統計分析....................................................................................16 2-3:第三節 胸腹主動脈瘤..............................................................................16 2-3-1研究設計.....................................................................................16 2-3-2統計分析.....................................................................................17 2-4:第四節 複雜性腹主動脈及骼動脈瘤......................................................18 2-4-1 研究設計....................................................................................18 2-4-2手術技術.....................................................................................18 2-4-3試驗指標及定義.........................................................................19 2-4-4統計分析.....................................................................................19 2-5:第五節 煙囪式置放術中決定主要主動脈內套膜支架尺寸的方法......19 2-5-1研究設計.....................................................................................19 第三章: 結果..........................................................................................................21 3-1:第一節 腹主動脈血管內支架植入後支架內血栓沉積物......................21 3-2:第二節 破裂腹主動脈血管瘤..................................................................21 3-3:第三節 胸腹主動脈瘤..............................................................................24 3-3-1病患特性.....................................................................................24 3-3-2血管支架置放區.........................................................................24 3-3-3支架通暢率.................................................................................25 3-3-4致病率及死亡率.........................................................................25 3-4:第四節 複雜性腹主動脈及骼動脈瘤...........................................................25 3-4-1病患特性..........................................................................................26 3-4-2手術及術後三十日之結果..............................................................27 3-4-3中期結果..........................................................................................27 3-5: 第五節 煙囪式置放術中決定主要主動脈內套膜支架尺寸的方法......28 第四章: 討論...............................................................................................................29 4-1:第一節 腹主動脈血管內支架植入後支架內血栓沉積物........................29 4-2:第二節 破裂腹主動脈血管瘤....................................................................31 4-3:第三節 胸腹主動脈瘤................................................................................34 4-4:第四節 複雜性腹主動脈及骼動脈瘤........................................................37 4-5:第五節 煙囪式置放術中決定主要主動脈內套膜支架尺寸的方法........40 第五章: 結論...............................................................................................................42 5-1:第一節 腹主動脈血管內支架植入後支架內血栓沉積物......................42 5-2:第二節 破裂腹主動脈血管瘤..................................................................42 5-3:第三節 胸腹主動脈瘤..............................................................................42 5-4:第四節 複雜性腹主動脈及骼動脈瘤......................................................43 5-5:第五節 煙囪式置放術中決定主要主動脈內套膜支架尺寸的方法......43 第六章:未來展望.........................................................................................................44 6-1:煙囪型支架移植物�開窗式分支支架移植物..........................................44 6-2:主動脈剝離用主動脈套膜支架設計..........................................................44 6-3:升主動脈主動脈套膜支架設計..................................................................45 6-4:單分支與多分支式支架移植物的進一步研發與測試..............................45 6-5:醫師當場製做之器材..................................................................................45 6-6:降低支架移植物的大小..............................................................................45 6-7:主動脈弓節的相容性..................................................................................45 6-8:多層流量調節支架..........................................................................................46 6-9:動脈瘤囊固定支架..........................................................................................46 6-10:主動脈瘤之生物標記研究............................................................................46 英文簡述.................................................................................................................50 圖目錄 Figure 1: Intraluminal thrombus.................................................................................................55 Figure 2: Procedure sequences...................................................................................................56 Figure 3: Post-operative computed tomography........................................................................58 Figure 5: Freedom from intraprosthetic thrombosis over a midterm follow-up.........................59 Figure 6: A bifurcated endograft follow-up CT scanning..........................................................60 Figure 7: Freedom from intraprosthetic thrombosis over a midterm follow-up.........................61 Figure 8: Plug flow.....................................................................................................................62 Figure 9: Kaplan–Meier survival curves for overall survival.....................................................63 Figure 10: Distribution of the proximal and distal landing zones..............................................64 Figure 11: Kaplane-Meier survival curve...................................................................................65 Figure 12: Aneurysm sac shrinkage assessed by computed tomography...................................66 Figure 13: Illustration of the estimated anatomic position.........................................................67 表目錄 Table 1: Demographics, patient co-morbidities, size and morphology of Aneurysms...............68 Table 2: ICD-9 diagnostic and procedural codes........................................................................69 Table 3: Patient demographic data..............................................................................................70 Table 4: Incidence of intraluminal thrombus deposition during follow-up................................72 Table 5: Comparison of cross-section area ratio and mainbody length between patients with or without postoperative intraluminal thrombus.............................................................73 Table 6: Clinicopathologic and biochemical features of patients with RAAA undergoing OAR and eEVAR.................................................................................................................74 Table 7: Comparison of operative outcome between OAR and eEVAR groups........................75 Table 8: Univariate analysis of clinicopathologic and biochemical factors...............................76 Table 9: Multivariate logistic regression of clinicopathologic and biochemical factors.........77 Table 10: Postoperative complications.......................................................................................78 Table 11: Patient Characteristics and Comorbidity....................................................................79 Table 12: Preoperative Anatomical Features Assessed by CTA................................................80 Table 13: Procedure Data............................................................................................................81 Table14: Procedure Data and Results at 30 Days and Midterm Follow-up...............................83 Table15: Patient demographic and procedural details................................................................84 Table16: Literature reviews of hybrid thoracoabdominal aortic repair......................................85 參考文獻.........................................................................................................86 附錄.............................................................................................................108 | |
dc.language.iso | zh-TW | |
dc.title | 探討利用胸腹主動脈覆膜支架治療主動脈瘤的臨床幾何學及生物標誌 | zh_TW |
dc.title | Analysis of Clinical Geometry and Biomarkers of Thoracic and Abdominal Aortic Stent Grafts in the Treatment of Aortic Aneurysms | en |
dc.type | Thesis | |
dc.date.schoolyear | 103-2 | |
dc.description.degree | 博士 | |
dc.contributor.oralexamcommittee | 陳益祥,黃瑞仁,周財福,林萍章,王水深 | |
dc.subject.keyword | 破裂腹主動脈瘤,血管內動脈瘤修復術,腹主動脈瘤,骼總動脈瘤,骼內動脈,煙囪支架, | zh_TW |
dc.subject.keyword | Ruptured abdominal aortic aneurysm,Endovascular aneurysm repair abdominal aortic aneurysm,common iliac artery aneurysm,internal iliac artery,chimney graft, | en |
dc.relation.page | 110 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2015-07-02 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 臨床醫學研究所 | zh_TW |
顯示於系所單位: | 臨床醫學研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-104-1.pdf 目前未授權公開取用 | 3.34 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。