-
Je něco špatně v tomto záznamu ?
Diameter and dissection of the abdominal aorta and the risk of distal aortic reoperation after surgery for type A aortic dissection
F. Biancari, A. Perrotti, T. Juvonen, G. Mariscalco, M. Pettinari, JR. Lega, D. Di Perna, T. Mäkikallio, F. Onorati, K. Wisniewki, T. Demal, M. Pol, G. Gatti, I. Vendramin, M. Rinaldi, E. Quintana, S. Peterss, M. Field, A. Fiore
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články
- MeSH
- aneurysma hrudní aorty * chirurgie MeSH
- aorta abdominalis diagnostické zobrazování chirurgie MeSH
- aortální aneurysma * chirurgie MeSH
- azidy * MeSH
- cévy - implantace protéz * škodlivé účinky MeSH
- deoxyglukosa analogy a deriváty MeSH
- disekce aorty * diagnostické zobrazování chirurgie MeSH
- lidé MeSH
- reoperace MeSH
- retrospektivní studie MeSH
- rizikové faktory MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Surgery for Stanford type A aortic dissection (TAAD) is associated with an increased risk of late aortic reoperations due to degeneration of the dissected aorta. METHODS: The subjects of this analysis were 990 TAAD patients who survived surgery for acute TAAD and had complete data on the diameter and dissection status of all aortic segments. RESULTS: After a mean follow-up of 4.2 ± 3.6 years, 60 patients underwent 85 distal aortic reoperations. Ten-year cumulative incidence of distal aortic reoperation was 9.6%. Multivariable competing risk analysis showed that the maximum preoperative diameter of the abdominal aorta (SHR 1.041, 95%CI 1.008-1.075), abdominal aorta dissection (SHR 2.133, 95%CI 1.156-3.937) and genetic syndromes (SHR 2.840, 95%CI 1.001-8.060) were independent predictors of distal aortic reoperation. Patients with a maximum diameter of the abdominal aorta >30 mm and/or abdominal aortic dissection had a cumulative incidence of 10-year distal aortic reoperation of 12.0% compared to 5.7% in those without these risk factors (adjusted SHR 2.076, 95%CI 1.062-4.060). CONCLUSION: TAAD patients with genetic syndromes, and increased size and dissection of the abdominal aorta have an increased the risk of distal aortic reoperations. A policy of extensive surgical or hybrid primary aortic repair, completion endovascular procedures for aortic remodeling and tight surveillance may be justified in these patients. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04831073.
Cardiac Surgery Molinette Hospital University of Turin Turin Italy
Cardiothoracic Department Azienda Sanitaria Universitaria Friuli Centrale Udine Italy
Cardiovascular Surgery Department University Hospital Gregorio Marañón Madrid Spain
Department of Cardiac Surgery Centre Hospitalier Annecy Genevois Epagny Metz Tessy France
Department of Cardiac Surgery Glenfield Hospital Leicester United Kingdom
Department of Cardiac Surgery LMU University Hospital Ludwig Maximilian University Munich Germany
Department of Cardiac Surgery Ziekenhuis Oost Limburg Genk Belgium
Department of Cardiothoracic Surgery University Hospital Muenster Muenster Germany
Department of Cardiovascular Surgery Hospital Clínic de Barcelona University of Barcelona Spain
Department of Cardiovascular Surgery University Heart and Vascular Center Hamburg Hamburg Germany
Department of Medicine South Karelia Central Hospital University of Helsinki Lappeenranta Finland
Department of Thoracic and Cardiovascular Surgery University of Franche Comte Besancon France
Division of Cardiac Surgery University of Verona Medical School Verona Italy
Heart and Lung Center Helsinki University Hospital University of Helsinki Helsinki Finland
Research Unit of Surgery Anesthesia and Critical Care University of Oulu Oulu Finland
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc24013761
- 003
- CZ-PrNML
- 005
- 20240905133424.0
- 007
- ta
- 008
- 240725e20240307ne f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1016/j.ijcard.2024.131938 $2 doi
- 035 __
- $a (PubMed)38458387
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a ne
- 100 1_
- $a Biancari, Fausto $u Department of Medicine, South-Karelia Central Hospital, University of Helsinki, Lappeenranta, Finland; Heart and Lung Center, Helsinki University Hospital, University of Helsinki, Helsinki, Finland. Electronic address: faustobiancari@yahoo.it
- 245 10
- $a Diameter and dissection of the abdominal aorta and the risk of distal aortic reoperation after surgery for type A aortic dissection / $c F. Biancari, A. Perrotti, T. Juvonen, G. Mariscalco, M. Pettinari, JR. Lega, D. Di Perna, T. Mäkikallio, F. Onorati, K. Wisniewki, T. Demal, M. Pol, G. Gatti, I. Vendramin, M. Rinaldi, E. Quintana, S. Peterss, M. Field, A. Fiore
- 520 9_
- $a BACKGROUND: Surgery for Stanford type A aortic dissection (TAAD) is associated with an increased risk of late aortic reoperations due to degeneration of the dissected aorta. METHODS: The subjects of this analysis were 990 TAAD patients who survived surgery for acute TAAD and had complete data on the diameter and dissection status of all aortic segments. RESULTS: After a mean follow-up of 4.2 ± 3.6 years, 60 patients underwent 85 distal aortic reoperations. Ten-year cumulative incidence of distal aortic reoperation was 9.6%. Multivariable competing risk analysis showed that the maximum preoperative diameter of the abdominal aorta (SHR 1.041, 95%CI 1.008-1.075), abdominal aorta dissection (SHR 2.133, 95%CI 1.156-3.937) and genetic syndromes (SHR 2.840, 95%CI 1.001-8.060) were independent predictors of distal aortic reoperation. Patients with a maximum diameter of the abdominal aorta >30 mm and/or abdominal aortic dissection had a cumulative incidence of 10-year distal aortic reoperation of 12.0% compared to 5.7% in those without these risk factors (adjusted SHR 2.076, 95%CI 1.062-4.060). CONCLUSION: TAAD patients with genetic syndromes, and increased size and dissection of the abdominal aorta have an increased the risk of distal aortic reoperations. A policy of extensive surgical or hybrid primary aortic repair, completion endovascular procedures for aortic remodeling and tight surveillance may be justified in these patients. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04831073.
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a aorta abdominalis $x diagnostické zobrazování $x chirurgie $7 D001012
- 650 12
- $a aortální aneurysma $x chirurgie $7 D001014
- 650 _2
- $a reoperace $7 D012086
- 650 12
- $a cévy - implantace protéz $x škodlivé účinky $7 D019917
- 650 12
- $a disekce aorty $x diagnostické zobrazování $x chirurgie $7 D000784
- 650 _2
- $a rizikové faktory $7 D012307
- 650 12
- $a aneurysma hrudní aorty $x chirurgie $7 D017545
- 650 _2
- $a výsledek terapie $7 D016896
- 650 _2
- $a retrospektivní studie $7 D012189
- 650 12
- $a azidy $7 D001386
- 650 _2
- $a deoxyglukosa $x analogy a deriváty $7 D003847
- 655 _2
- $a časopisecké články $7 D016428
- 700 1_
- $a Perrotti, Andrea $u Department of Thoracic and Cardiovascular Surgery, University of Franche-Comte, Besancon, France
- 700 1_
- $a Juvonen, Tatu $u Heart and Lung Center, Helsinki University Hospital, University of Helsinki, Helsinki, Finland; Research Unit of Surgery, Anesthesia and Critical Care, University of Oulu, Oulu, Finland
- 700 1_
- $a Mariscalco, Giovanni $u Department of Cardiac Surgery, Glenfield Hospital, Leicester, United Kingdom
- 700 1_
- $a Pettinari, Matteo $u Department of Cardiac Surgery, Ziekenhuis Oost Limburg, Genk, Belgium
- 700 1_
- $a Lega, Javier Rodriguez $u Cardiovascular Surgery Department, University Hospital Gregorio Marañón, Madrid, Spain
- 700 1_
- $a Di Perna, Dario $u Department of Cardiac Surgery, Centre Hospitalier Annecy Genevois, Epagny Metz-Tessy, France
- 700 1_
- $a Mäkikallio, Timo $u Department of Medicine, South-Karelia Central Hospital, University of Helsinki, Lappeenranta, Finland
- 700 1_
- $a Onorati, Francesco $u Division of Cardiac Surgery, University of Verona Medical School, Verona, Italy
- 700 1_
- $a Wisniewki, Konrad $u Department of Cardiothoracic Surgery, University Hospital Muenster, Muenster, Germany
- 700 1_
- $a Demal, Till $u Department of Cardiovascular Surgery, University Heart and Vascular Center Hamburg, Hamburg, Germany
- 700 1_
- $a Pol, Marek $u Department of Cardiac Surgery, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Prague, Czech Republic
- 700 1_
- $a Gatti, Giuseppe $u Division of Cardiac Surgery, Cardio-thoracic and Vascular Department, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
- 700 1_
- $a Vendramin, Igor $u Cardiothoracic Department, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
- 700 1_
- $a Rinaldi, Mauro $u Cardiac Surgery, Molinette Hospital, University of Turin, Turin, Italy
- 700 1_
- $a Quintana, Eduard $u Department of Cardiovascular Surgery, Hospital Clínic de Barcelona, University of Barcelona, Spain
- 700 1_
- $a Peterss, Sven $u Department of Cardiac Surgery, LMU University Hospital, Ludwig Maximilian University, Munich, Germany
- 700 1_
- $a Field, Mark $u Liverpool Centre for Cardiovascular Sciences, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom
- 700 1_
- $a Fiore, Antonio $u Department of Cardiac Surgery, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Creteil, France
- 773 0_
- $w MED00002299 $t International journal of cardiology $x 1874-1754 $g Roč. 404 (20240307), s. 131938
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/38458387 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y - $z 0
- 990 __
- $a 20240725 $b ABA008
- 991 __
- $a 20240905133418 $b ABA008
- 999 __
- $a ok $b bmc $g 2143520 $s 1225627
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2024 $b 404 $c - $d 131938 $e 20240307 $i 1874-1754 $m International journal of cardiology $n Int J Cardiol $x MED00002299
- LZP __
- $a Pubmed-20240725
