中国实用内科杂志2011，Vol.31Issue(1)：45-48,4.
腔内隔绝术治疗Stanford B型主动脉夹层210例分析
Endovascular repair of Stanford B aortic dissection in 210 patients
王效增 1荆全民 1韩雅玲 1刘小江 2金红旭 3吴国强3
作者信息
- 1. 沈阳军区总医院,心内科,沈阳,110016
- 2. 沈阳军区总医院,麻醉科,沈阳,110016
- 3. 沈阳军区总医院,普通外科,沈阳,110016
- 折叠
摘要
Abstract
Objective To evaluate in-hospital and long-term results of endovascular repair of Stanford B aortic dissection by stent graft.Methods From April 2002 to October 2010,210 patients with Stanford B aortic dissection underwent stent graft implantation.Their average age was 53.4 ± 11.1 years.The anterior walls of femoral artery were cut and the stent grafts were placed to close dissection tears.The patients with coronary heart diseases were implanted with stent graft 3 ～ 7 days before they underwent PCI.The clinical effects were analyzed.Results Procedures were technically successful in all patients.A total of 208 trunk stent grafts and 13 cuff stent grafts were used.In 20 patients, left subclavian artery was thoroughly covered by the proximal section of the graft ,without any ischemic symptoms of the left upper limb and brain.Thirty-six stents were placed to 32 target vessels in 26 patients.The success rate of PCI procedure was 100％ , with no severe complication such as bleeding.The average follow up was 60 ± 35 months, and the follow up rate was 96.6％ ( 201/208 ).Transient post-implantation syndrome occurred in 33 patients.Endo-leak occurred in 13 patients,with 8 closed in 3 months.Ascending aortic dissection occurred in 3 patients and paraplegia occurred in 1 during 6 months.Late endo-leak occurred in one patient during 1 year.Totally 6 patients died,4 related to endovascular repair at 1 hour,5 days after operation ,and at 2 days, 15 days after discharge.Another 2 patients died of gastric cancer and pulmonary heart disease.Conclusion In-hospital and long-term results of endovascular repair are satisfactory in treatment of Stanford B aortic dissection, with less complication.Combination technique of endovascular repair and PCI is safe and feasible that treating Stanford B aortic dissection with coronary heart disease.关键词
主动脉疾病,主动脉夹层/腔内隔绝术/血管内支架分类
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王效增,荆全民,韩雅玲,刘小江,金红旭,吴国强..腔内隔绝术治疗Stanford B型主动脉夹层210例分析[J].中国实用内科杂志,2011,31(1):45-48,4.
