摘要
目的总结覆膜支架血管腔内植入术治疗Stanford B型主动脉夹层16例的体会,并探讨手术时机及技巧。方法行覆膜支架腔内修复治疗Stanford B型主动脉夹层者16例,所有手术均在全麻数字减影血管造影(DSA)监视下进行。结果所有病人均获得成功。本组16例共置入支架血管16个,予球囊扩张2例,有4例完全封堵了左锁骨下动脉开口。术毕造影显示,所有病例真腔形态基本恢复正常。随访至今,1例术后2年死亡,其余生活质量良好。结论覆膜支架腔内植入术是治疗Stanford B型主动脉夹层的有效方法。
Objective To summarize the clinical experience of covered endovascular stent-graft in treatment of Stanford B type aortic dissection, and assess the operation chance and technique essentials. Methods From May 2003 to December 2007,16 patients s ufferred from Stanford B type aortic dissection were treated with covered endovaseular stent-graft. There were 11 males and 5 females with average age of 59.4 years （32 -82 years）. All operations were performed under digital subtraction angiography （DSA） guidance. Results All the treatment were successful. In all the 16 eases, 16 stent-grafts were installed, and two pereutaneous transluminal angioplastry performed, four ruptures of left subclavian artery sealed successfully. Angiography indicated that the compressed real aortic cavity was nearly returned to normal size. Clinical results were satisfactory during follow-up period except for one death two years later. Conclusion Transluminal covered endovascular stent-graft is an effective treatment for Stanford B type aortic dissection.
出处
《微创医学》
2009年第2期112-114,共3页
Journal of Minimally Invasive Medicine
关键词
主动脉夹层
覆膜支架血管
血管腔内植入术
Aortic dissection
Covered endovascular stent-graft
Transluminal interventional therapy
