@article{oai:miyazaki-u.repo.nii.ac.jp:00004572, author = {松山, 正和 and Matsuyama, Masakazu and Nakamura, Kunihide and 中村, 都英 and 長濱, 博幸 and Nagahama, Hiroyuki and 新名, 克彦 and Nina, Katsuhiko and Endou, Jouji and 遠藤, 穣治 and 児嶋, 一司 and Kojima, Kazushi and 西村, 征憲 and Nishimura, Masanori and Ishii, Hirohito and 石井, 廣人 and 横田, 敦子 and Yokota, Atsuko}, issue = {4}, journal = {Annals of Vascular Diseases}, month = {Nov}, note = {Objective: We evaluated early and long-term results of atherosclerotic aneurysm repair with custom-made endografts. Materials and Methods: Eighty-one consecutive patients underwent thoracic endovascular aortic repair with custom-made endografts. Fenestrated grafts were used in 37 patients (45.7%) to maintain blood flow of the neck and a landing zone for as long as possible for distal arch or proximal descending aneurysms. The rates of perioperative mortality, stroke, paraplegia, and primary endoleaks were assessed to evaluate in-hospital safety. The rates of endoleak development, survival, and freedom from aortic-related death were assessed to evaluate long-term efficiency. Results: Twenty-four patients (29.6%) underwent urgent operations, and 38 (46.9%) underwent distal arch or proximal descending aortic aneurysm repair. There was one case (1.2%) of in-hospital mortality and no cases of stroke. Permanent spinal injury occurred in one patient (1.2%). Early and late endoleaks occurred in one and 16 patients, respectively. The actuarial survival rates were 88.9%, 64.9%, and 51.7% at 1, 5, and 10 years, respectively. The actuarial rates of freedom from endoleaks were 90.1%, 81.3%, and 68.6% at 1, 5, and 10 years, respectively. Conclusion: Early results of custom-made endografts were excellent, and fenestrated endografts were safe for distal arch and proximal descending aortic aneurysms., Citation: Matsuyama M, Nakamura K, Nagahama H, Nina K, Endou J, Kojima K, Nishimura M, Ishii H, Yokota A. Long-term results of endovascular repair for distal arch and descending thoracic aortic aneurysms treated by custom-made endografts: usefulness of fenestrated endografts. Ann Vasc Dis. 2014;7(4):383-92. doi: 10.3400/avd.oa.14-00057. Epub 2014 Dec 25. PMID: 25593623; PMCID: PMC4293188.}, pages = {383--392}, title = {Long-Term Results of Endovascular Repair for Distal Arch and Descending Thoracic Aortic Aneurysms Treated by Custom-Made Endografts : Usefulness of Fenestrated Endografts}, volume = {7}, year = {2014}, yomi = {マツヤマ, マサカズ and ナカムラ, クニヒデ and ナガハマ, ヒロユキ and ニイナ, カツヒコ and エンドウ, ジョウジ and コジマ, カズシ and ニシムラ, マサノリ and イシイ, ヒロヒト and ヨコタ, アツコ} }