{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:58:08Z","timestamp":1740142688008,"version":"3.37.3"},"reference-count":12,"publisher":"FapUNIFESP (SciELO)","issue":"2","license":[{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY OBJECTIVE: Aortic dissecting aneurysms involving visceral arteries are difficult for clinical treatment. This study aimed to explore the clinical efficacy and safety of multi-layer bare stents technique in the treatment of aortic dissecting aneurysms involving visceral arteries. METHOD: The clinical data of 16 patients of aortic dissecting aneurysm involving visceral artery treated with multi-layer bare stents technique from March 2013 to March 2017 in Tianjin Medical University General Hospital were retrospectively analyzed. To explore the clinical efficacy, the number of stents applied, postoperative aortic dissecting thrombosis and postoperative cumulative branch arterial patency of the16 patients. RESULTS: The operations of the 16 patients were successfully completed without peri-operative death cases. The 16 patients were implanted with 39 bare stents with an average of 2.44 per person. There were 2 cases with 1 stent, 8 cases with 2 stents and 7 cases with 3 stents. One month after the operation, CTA showed complete thrombosis in the arterial dissection in 4 cases (25.0%), partial thrombosis in 12 cases (75.0%); CTA showed that celiac artery, left and right renal arteries, and superior mesenteric artery were all unobstructed. There were 4 cases (25.0%) of dissecting artery with reduced diameter, 12 patients (75.0%) without changes in the diameter, and no diameter expanding cases. CONCLUSION: The treatment for aortic dissecting aneurysm involving the visceral arteries using multi-layer bare stents technique is safe and reliable with a higher patency rate of postoperative accumulated branch arteries.<\/jats:p>","DOI":"10.1590\/1806-9282.65.2.216","type":"journal-article","created":{"date-parts":[[2019,3,16]],"date-time":"2019-03-16T20:39:06Z","timestamp":1552768746000},"page":"216-221","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of aortic dissecting aneurysm involving visceral arteries with multi-layer bare stents"],"prefix":"10.1590","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2018-8149","authenticated-orcid":false,"given":"Mingsheng","family":"Dai","sequence":"first","affiliation":[{"name":"Tianjin Medical University General Hospital, China; Tinjin Huanghe Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6274-1723","authenticated-orcid":false,"given":"Tong","family":"Liu","sequence":"additional","affiliation":[{"name":"Tianjin Medical University General Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0573-4949","authenticated-orcid":false,"given":"Yudong","family":"Luo","sequence":"additional","affiliation":[{"name":"Tianjin Medical University General Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9337-3858","authenticated-orcid":false,"given":"Feng","family":"Zhou","sequence":"additional","affiliation":[{"name":"Tianjin Medical University General Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2901-6906","authenticated-orcid":false,"given":"Hailun","family":"Fan","sequence":"additional","affiliation":[{"name":"Tianjin Medical University General Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0742-8910","authenticated-orcid":false,"given":"Jiechang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Tianjin Medical University General Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1751-6006","authenticated-orcid":false,"given":"Yiwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Tianjin Medical University General Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6527-6225","authenticated-orcid":false,"given":"Fanguo","family":"Hu","sequence":"additional","affiliation":[{"name":"Tianjin Medical University General Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9029-8650","authenticated-orcid":false,"given":"Xiangchen","family":"Dai","sequence":"additional","affiliation":[{"name":"Tianjin Medical University General Hospital, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019,2]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1001\/archinte.1978.03630310067021","article-title":"Management of dissecting aortic aneurysm","volume":"138","author":"Kleiger R","year":"1978","journal-title":"Arch Intern Med."},{"issue":"Suppl 2","key":"ref2","doi-asserted-by":"crossref","first-page":"S67","DOI":"10.1007\/s00270-007-9218-z","article-title":"Endovascular management of chronic type B dissecting aortic aneurysm utilizing aortic and renal stents","volume":"31","author":"Taylor JD","year":"2008","journal-title":"Cardiovasc Intervent Radiol."},{"issue":"8","key":"ref3","first-page":"1320","article-title":"Surgical management of abdominal aortic rupture in chronic dissecting thoracic aneurysm (DeBakey IIIb)","volume":"31","author":"Yamaguchi T","year":"1983","journal-title":"Nihon Kyobu Geka Gakkai Zasshi."},{"issue":"27","key":"ref4","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000000209","article-title":"Management of complicated aortic aneurysms using multiple overlapping uncovered stents: mid-term outcome from a cohort study","volume":"93","author":"Zhang Y","year":"2014","journal-title":"Medicine (Baltimore)."},{"key":"ref5","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.avsg.2016.06.030","article-title":"Is multilayer bare stent safe or effective for the treatment of aortic aneurysms? A meta-analysis with early and mid-term outcomes","volume":"40","author":"Ke K","year":"2017","journal-title":"Ann Vasc Surg."},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"536","DOI":"10.3760\/cma.j.issn.0366-6999.20122278","article-title":"Multilayer stents, a new progress in the endovascular treatment of aneurysms","volume":"126","author":"Zhang YX","year":"2013","journal-title":"Chin Med J (Engl)."},{"issue":"6","key":"ref7","first-page":"743","article-title":"Dissecting aortic aneurysm involving an anomalous right subclavian artery and isolated left vertebral artery: case report and review of the literature","volume":"39","author":"Nonami Y","year":"1998","journal-title":"J Cardiovasc Surg (Torino)."},{"issue":"2","key":"ref8","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1583\/1545-1550-20.2.159","article-title":"Comparison of outcomes with open, fenestrated, and chimney graft repair of juxtarenal aneurysms: are we ready for a paradigm shift?","volume":"20","author":"Katsargyris A","year":"2013","journal-title":"J Endovasc Ther."},{"issue":"5","key":"ref9","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1016\/j.athoracsur.2014.06.064","article-title":"Total endovascular repair of thoracoabdominal aortic aneurysms with non-customized stent grafts","volume":"98","author":"Zhang Y","year":"2014","journal-title":"Ann Thorac Surg."},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.jvs.2012.04.020","article-title":"Flow-diverting stents for the treatment of arterial aneurysms","volume":"56","author":"Sfyroeras GS","year":"2012","journal-title":"J Vasc Surg."},{"issue":"14","key":"ref11","first-page":"303","article-title":"Aortic dissection, dissecting aortic aneurysm","author":"Matsco H","year":"1996","journal-title":"Ryoikibetsu Shokogun Shirizu."},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1016\/j.jvs.2013.02.248","article-title":"Endovascular management of pararenal aortic aneurysms with multiple overlapping uncovered stents","volume":"58","author":"Zhang YX","year":"2013","journal-title":"J Vasc Surg."}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ramb\/v65n2\/1806-9282-ramb-65-02-0216.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T21:23:43Z","timestamp":1721078623000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302019000200216&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,2]]}},"alternative-id":["S0104-42302019000200216"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.65.2.216","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"type":"electronic","value":"1806-9282"},{"type":"print","value":"0104-4230"}],"subject":[],"published":{"date-parts":[[2019,2]]}}}