昆明医学院学报2011，Vol.32Issue(10)：68-71,4.
Stanford B型主动脉夹层腔内治疗中封堵左锁骨下动脉86例临床分析
Clinical Analysis of Left Subclavian Artery Coverage during the Endovascular Repair of Stanford type B Aortic Dissection in 86 Cases
高荐辕 1金辉 1杨斌 1蔡红波 1冯曜宇1
作者信息
- 1. 昆明医学院第一附属医院血管外科,云南昆明 650032
- 折叠
摘要
Abstract
Objective To analyze the influence of left subclavian artery ( LSA) coverage on the blood-supply of brain and upper extremity during the endovascular repair (EVR) of Stanford type B aortic dissection (AD). Method We retrospectively analyzed these clinical and follow-up data of 126 patients with type B dissection who were treated by EVR. Results Among 126 patients with Stanford type B AD who received the endovascular repair (EVR) , 86 patients' LSA were covered fully or partly. 35 patients, LSA were complete covered and 51 patients, ones were partly covered (1/4 ~ 2/3). No severe complications were found in brain and upper extremity. There were 12 patients that presented slight left upper limb ischemia. And the blood pressure of left brachial artery of 51 patients that LSA be covered partly were lower 15 ~ 35 mmHg than peroperation. Conclusions For patients with Stanford type B aortic dissection, while the distance from the left subclavian artery to proximate break is less than 10 mm, it is feasible to cover LSA during EVR. But it is very necessarybefore operation to evaluate the condition of carotid artery, vertebral artery and cerebral arterial circle.关键词
主动脉夹层/腔内修复术/支架/并发症Key words
Aortic dissection/ Endovascular repair/ Stent-graft/ Complication分类
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高荐辕,金辉,杨斌,蔡红波,冯曜宇..Stanford B型主动脉夹层腔内治疗中封堵左锁骨下动脉86例临床分析[J].昆明医学院学报,2011,32(10):68-71,4.
