医学信息2016,Vol.29Issue(9):55-56,2.
封堵左锁骨下动脉修复Stanford B型主动脉夹层40例分析
Thoracic Endovascular Repair by Covering the Left Subclavian Artery on Stanford B Type Thoracic Aortic Dissection:An analysis of 40 cases
杨帆 1邓璐1
作者信息
- 1. 泸州医学院附属医院急诊医学部,四川 泸州 646000
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of covering the left subclavian artery directly on Stanford B type Thoracic Aortic Dissection which landing zone less than 15mm. Methods We retrospectively analyzed covering the left subclavian artery directly in treatment of 40 patients with Stanford B type aortic dissection which landing zone less than 15mm in the Affiliated Hospital of LuZhou medical college from January 2009 to January 2011. Results The stent-graft was successfully performed in 10 patients,and 1 patientsfailed by the descending aorta circuity .The mean operative time was(52.4±6.8)minutes and the the mean inpatient time was(5.8±1.8)days. All patients were followed up in 48 months postoperatively, no death occurred.1 case had stent migration and the left upper limb ischemia was noted in 2 patients,no major complications occurred in others patients.Conclusion Covering the left subclavian artery directly in treatment of Stanford B type Thoracic Aortic Dissection which landing zone less than 15mm is definitely effective,shorten the operation time and has less complications,fast recovery,yet it is requested to choice the operation manner based on the circumstances of willis cycle and left vertebral artery.关键词
主动脉夹层/支架/腔内修复Key words
Aortic dissection/Stent/Endovascular repair引用本文复制引用
杨帆,邓璐..封堵左锁骨下动脉修复Stanford B型主动脉夹层40例分析[J].医学信息,2016,29(9):55-56,2.