Aortic remodeling of the provisional extension to induce complete attachment technique in DeBakey type IIIb aortic dissection
Background/Purpose: Data about volumetric remodeling of the provisional extension to induce complete attachment (PETTICOAT) technique on DeBakey type IIIb aortic dissection in acute and subacute phases were scarce. The proper timing to perform this technique to promote false lumen reduction was also...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of the Formosan Medical Association |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664622000067 |
| _version_ | 1811183155113099264 |
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| author | Hung-Lung Hsu Chun-Yang Huang Hsin-Ying Lu Chiao-Po Hsu Po-Lin Chen I-Ming Chen Chun-Che Shih |
| author_facet | Hung-Lung Hsu Chun-Yang Huang Hsin-Ying Lu Chiao-Po Hsu Po-Lin Chen I-Ming Chen Chun-Che Shih |
| author_sort | Hung-Lung Hsu |
| collection | DOAJ |
| description | Background/Purpose: Data about volumetric remodeling of the provisional extension to induce complete attachment (PETTICOAT) technique on DeBakey type IIIb aortic dissection in acute and subacute phases were scarce. The proper timing to perform this technique to promote false lumen reduction was also unknown. Methods: Patients with DeBakey type IIIb aortic dissection who underwent the PETTICOAT technique between December 2005 and March 2017 were reviewed and divided into acute (treatment occurred ≦14 days after symptom onset) and subacute (15–90 days) groups. Remodeling parameters of the true and false lumens were analyzed. Receiver operating characteristic curve was used to deduce the timing of this technique. Results: In the 2-year follow-up, the acute group (N = 20) demonstrated significant true lumen expansion and false lumen regression in the thoracic, abdominal, and total aorta. However, the subacute group (N = 20) only showed significant shrinkage in the false lumen of the thoracic and total aorta. Using PETTICOAT technique within 36 days after the aortic event may result in better total false lumen reduction. Conclusion: For DeBakey type IIIb aortic dissection, more prominent true lumen expansion and false lumen reduction were noted when using the PETTICOAT technique in the acute phase. When performed within 36 days after symptoms onset, the PETTICOAT technique may potentiate better total false lumen regression. |
| first_indexed | 2024-04-11T09:43:04Z |
| format | Article |
| id | doaj.art-62337a4c2be643dd941eef5fd15fcee4 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-11T09:43:04Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-62337a4c2be643dd941eef5fd15fcee42022-12-22T04:31:09ZengElsevierJournal of the Formosan Medical Association0929-66462022-09-01121917481757Aortic remodeling of the provisional extension to induce complete attachment technique in DeBakey type IIIb aortic dissectionHung-Lung Hsu0Chun-Yang Huang1Hsin-Ying Lu2Chiao-Po Hsu3Po-Lin Chen4I-Ming Chen5Chun-Che Shih6Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei 112 Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan; Division of Cardiovascular Surgery, Cardiovascular Center, Far Eastern Memorial Hospital, New Taipei City, 220, Taiwan; Department of Biotechnology, Ming Chuan University, Taoyuan, 333, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan; Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, 112, TaiwanInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei 112 Taiwan; Taipei Heart Institute, Taipei Medical University, Taipei, 110, Taiwan; Division of Cardiovascular Surgery, Department of Surgery, Taipei Municipal Wanfang Hospital, Taipei, 116, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan; Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, 112, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan; Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, 112, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan; Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, 112, TaiwanInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei 112 Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, 112, Taiwan; Taipei Heart Institute, Taipei Medical University, Taipei, 110, Taiwan; Division of Cardiovascular Surgery, Department of Surgery, Taipei Municipal Wanfang Hospital, Taipei, 116, Taiwan; Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, 110, Taiwan; Corresponding author. Division of Cardiovascular Surgery, Department of Surgery, Taipei Municipal Wanfang Hospital, No.111, Sec. 3, Xinglong Rd., Wenshan Dist', Taipei City, 11696, Taiwan. Fax: +886 2 29335221.Background/Purpose: Data about volumetric remodeling of the provisional extension to induce complete attachment (PETTICOAT) technique on DeBakey type IIIb aortic dissection in acute and subacute phases were scarce. The proper timing to perform this technique to promote false lumen reduction was also unknown. Methods: Patients with DeBakey type IIIb aortic dissection who underwent the PETTICOAT technique between December 2005 and March 2017 were reviewed and divided into acute (treatment occurred ≦14 days after symptom onset) and subacute (15–90 days) groups. Remodeling parameters of the true and false lumens were analyzed. Receiver operating characteristic curve was used to deduce the timing of this technique. Results: In the 2-year follow-up, the acute group (N = 20) demonstrated significant true lumen expansion and false lumen regression in the thoracic, abdominal, and total aorta. However, the subacute group (N = 20) only showed significant shrinkage in the false lumen of the thoracic and total aorta. Using PETTICOAT technique within 36 days after the aortic event may result in better total false lumen reduction. Conclusion: For DeBakey type IIIb aortic dissection, more prominent true lumen expansion and false lumen reduction were noted when using the PETTICOAT technique in the acute phase. When performed within 36 days after symptoms onset, the PETTICOAT technique may potentiate better total false lumen regression.http://www.sciencedirect.com/science/article/pii/S0929664622000067Aortic remodelingAortic bare stentingDebakey type III aortic DissectionProvisional extension to induce complete attachment (PETTICOAT) |
| spellingShingle | Hung-Lung Hsu Chun-Yang Huang Hsin-Ying Lu Chiao-Po Hsu Po-Lin Chen I-Ming Chen Chun-Che Shih Aortic remodeling of the provisional extension to induce complete attachment technique in DeBakey type IIIb aortic dissection Journal of the Formosan Medical Association Aortic remodeling Aortic bare stenting Debakey type III aortic Dissection Provisional extension to induce complete attachment (PETTICOAT) |
| title | Aortic remodeling of the provisional extension to induce complete attachment technique in DeBakey type IIIb aortic dissection |
| title_full | Aortic remodeling of the provisional extension to induce complete attachment technique in DeBakey type IIIb aortic dissection |
| title_fullStr | Aortic remodeling of the provisional extension to induce complete attachment technique in DeBakey type IIIb aortic dissection |
| title_full_unstemmed | Aortic remodeling of the provisional extension to induce complete attachment technique in DeBakey type IIIb aortic dissection |
| title_short | Aortic remodeling of the provisional extension to induce complete attachment technique in DeBakey type IIIb aortic dissection |
| title_sort | aortic remodeling of the provisional extension to induce complete attachment technique in debakey type iiib aortic dissection |
| topic | Aortic remodeling Aortic bare stenting Debakey type III aortic Dissection Provisional extension to induce complete attachment (PETTICOAT) |
| url | http://www.sciencedirect.com/science/article/pii/S0929664622000067 |
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