中国医学科学院学报2016，Vol.38Issue(6)：715-719,5.DOI:10.3881/j.issn.1000-503X.2016.06.015
急性B型主动脉夹层的腔内修复治疗
Endovascular Repair for Acute Type B Aortic Dissection
叶炜 1刘昌伟 1宋小军 1李拥军 1刘暴 1郑月宏 1曾嵘1
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院血管外科，北京100730
- 折叠
摘要
Abstract
Objective To report experience and result of endovascular repair for acute type B aortic dissection ( ATBD) . Methods Totally 125 ATBD patients receiving endovascular repair with stent-graft were enrolled in this study. Demographic data, operation details, perioperative findings, and follow-up results were retrospectively analyzed. Results All the 125 patients were successfully implanted with 135 stent-grafts. Thirteen cases were covered left subclavian artery, 16 cases underwent left subclavian artery revascularization, and 10 cases underwent visceral artery revascularization. No perioperative mortality occurred. Meanwhile, the perioerative major adverse events included renal infarction ( n=1 ) , renal artery bleeding ( n=2 ) , stroke ( n=2 ) , myocardial infarction ( n=1 ) , and renal dysfunction ( n=2; one of them suffered from permanent dialy-sis), and incision complication (n=5) . The mean cost during hospital stay was (112 657±58 921) Yuan;more specifically, the cost for complicated dissection cases was significantly higher than uncomplicated cases [ (171 623±93 635) Yuan vs. (92 531±48 721) Yuan, P<0. 001] . All the patients received regular follow-up for 3-120 months [mean (23. 5±11. 2) months], except that 14 cases (11. 2%) lost to follow-up. During <br> the follow-up, three deaths were reported, among whom one died due to rupture of distal dissection one year after primary operation. No re-intervention case was noted. Conclusions Endovascular repair for ATBD is safe and feasible. Emergency repair for complicated ATBD cases can get satisfactory results, although the medical cost is higher than uncomplicated cases.关键词
主动脉夹层/腔内修复/覆膜支架Key words
aortic dissection/endovascular repair/stent-graft分类
医药卫生引用本文复制引用
叶炜,刘昌伟,宋小军,李拥军,刘暴,郑月宏,曾嵘..急性B型主动脉夹层的腔内修复治疗[J].中国医学科学院学报,2016,38(6):715-719,5.
