解放军医学院学报Issue(4)：337-341,5.DOI:10.3969/j.issn.2095-5227.2015.04.010
胸主动脉腔内修复术治疗慢性B型主动脉夹层中期疗效分析
Midterm outcome analysis of endovascular treatment for chronic type B aortic dissection
葛阳阳 1郭伟 1刘小平 1熊江 1贾鑫 1马晓辉 1张宏鹏 1崔豹2
作者信息
- 1. 解放军总医院，北京 100853 1血管外科
- 2. 放射诊断科
- 折叠
摘要
Abstract
Objective To assess midterm results of endovascular stent-graft placement for chronic type B aortic dissection (cTBD) and evaluate the safety and efficacy of TEVAR in cTBD patients.Methods Clinical data about 25 patients who were treated with stent-graft implantation for cTBD in our hospital from February 2011 to December 2013 were retrospectively analyzed. The clinical outcomes and arterial remodeling of patients were evaluated based on the follow-up and image data.Results The success rate was 100%, and no patients died within 30 days. Median follow-up time was 28.9 (26.4-35.2) months. The cumulative survival rate of 1 year and 3 years were 100% and 95.2%, respectively (95%CI: 86.1%-100%). The aortic remodeling was good in the stents recovered segment, while the cumulative aortic enlargement incidence of aortic segment distal to stent-graft was 30% - 45%.Conclusion TEVAR treatment for cTBD shows high technical success rate and high survival rate of early and middle age, but aortic remodeling of aortic segment distal to stent-graft performs bad. cTBD patients treated with TEVAR require close imaging follow-up.关键词
主动脉/B型夹层/胸主动脉腔内修复术/动脉重塑Key words
aorta/type B dissection/thoracic endovascular aortic repair/aortic remodeling分类
医药卫生引用本文复制引用
葛阳阳,郭伟,刘小平,熊江,贾鑫,马晓辉,张宏鹏,崔豹..胸主动脉腔内修复术治疗慢性B型主动脉夹层中期疗效分析[J].解放军医学院学报,2015,(4):337-341,5.
