中国医学创新Issue(11)：136-138,3.DOI:10.3969/j.issn.1674-4985.2014.11.055
腔内隔绝术治疗Stanford B型主动脉夹层疗效观察
Efficacy of Endovascular Graft Exclusion for the Treatment of Stanford Type B Aortic Dissection
苟小军 1李强1
作者信息
- 1. 重庆医科大学附属第一医院 重庆 400016
- 折叠
摘要
Abstract
Objective:To investigate the results of thoracic endovascular aortic repair(TEVAR)for Stanford type B aortic dissection. Method:The clinical data of 42 patients with Stanford type B aortic dissection aneurysm for the treatment of TEVAR were collected from June 2007 to March 2013 in the chest cardiac surgical. Preoperative CT angiography,cardiac ultrasound,intraoperative DSA-guided stent occlusion,postoperative follow-up of CTA was introduced to all patients. Result:42 cases of graft were successfully released;1 case was failed due to thin right femoral artery,could not implant 22 # coated stents blood vessels,than take conservative treatment;1 case because the left carotid surgery see arterial dominant type,was stopped surgery to graft replacement,trunk stent stenting. 1 case of perioperative was death;postoperative endoleak were found in 3 cases(included 1 case of postoperative aortic fistula and death);1 case of postoperative gastrointestinal was bleeding;1 case of postoperative mediastinal esophageal fistula;1 cases of paraplegia was recorded;1 case of recurrence of aortic dissection. The overall quality of life were good. Conclusion:TEVAR treatment of Stanford type B dissection is good with early and mid-term results. The long-term effect needs further study. The internal leakage is a major complication of the therapy,the prognosis may lead to death.关键词
主动脉夹层/腔内隔绝/疗效观察Key words
Aortic Dissection/Endovascular Aortic Repair/Efficacy observation引用本文复制引用
苟小军,李强..腔内隔绝术治疗Stanford B型主动脉夹层疗效观察[J].中国医学创新,2014,(11):136-138,3.
