西南国防医药2011，Vol.21Issue(12)：1318-1320,3.DOI:10.3969/j.issn.1004-0188.2011.12.015
Stanford B型夹层动脉瘤腔内隔绝术治疗30例临床观察
Clinical observation of endovascular graft exclusion on 30 cases of Stanford type B dissecting aortic aneurysm
张立平 1丁盛 1张近宝 1杨永健 2欧阳辉 1高峰 1蒋利 1张小虹3
作者信息
- 1. 610083,成都,成都军区总医院心胸外科
- 2. 610083,成都,成都军区总医院心内科
- 3. 解放军77100部队门诊部
- 折叠
摘要
Abstract
Objective To discuss the experiences of endovascular graft exclusion( EVGE )on Stanford type B dissecting aortic aneurysm. Methods Retrospective analysis was made among the 30 patients with Stanford type B dissecting aortic aneurysm in our hospital from February 2009 to July 2011. Before the operation, 320 dynamic volume CT was used to evaluate the dissecting aortic aneurysm. During the operation, under the guidance of digital subtraction angiography, the stent grafts were inserted into the crack of the thoracic aortic dissection via the femoral artery. Results The achievement ratio of EVGE was 100% . In 2 cases, the left subclavian artery was thoroughly covered without any ischemic symptoms of the left upper limb and brain. Internal hemorrhage occurred in one case,and was naturally recovered 3 months later. No obvious symptoms were found in other patients. Conclusion EVGE can safely and effectively treat the Stanford B aortic dissection with minimal trauma and fast recovery.关键词
主动脉夹层动脉瘤/介入性治疗/腔内隔绝术Key words
dissecting aortic aneurysm/ interventional treatment/ endovascular graft exclusion分类
医药卫生引用本文复制引用
张立平,丁盛,张近宝,杨永健,欧阳辉,高峰,蒋利,张小虹..Stanford B型夹层动脉瘤腔内隔绝术治疗30例临床观察[J].西南国防医药,2011,21(12):1318-1320,3.
