摘要
目的探讨胸主动脉夹层腔内修复术(TEVAR)治疗Stanford B型胸主动脉夹层发生内漏原因及分型特点。方法回顾性分析2007年3月至2014年5月确诊为Standford B型胸主动脉夹层并完成TEVAR术治疗的189例患者,观察术中及术后内漏分型及影像学表现,患者生存率和生存质量。结果 TEVAR术中和术后共25例患者发生内漏,发生率为13.2%(25/189)。其中急性内漏22例,包括Ⅰ型14例(7.4%),Ⅱ型8例(4.2%);迟发性内漏3例,包括Ⅱ型2例(1.1%),Ⅲ型1例(0.5%)。术后患者生存质量未下降,未出现截瘫、肾动脉缺血等严重并发症。结论 TEVAR术内漏分型、影响因素不同,内漏发生概率各异,急性和迟发性内漏中Ⅰ型和Ⅱ型内漏最为常见。
Objective To investigate the causes of the endoleak occurring in percutaneous thoracic endovascular aortic repair （TEVAR） for Standford type B aortic dissection, and to discuss its classification characteristics. Methods The clinical data of 189 patients with proved Standford type B aortic dissection, who received TEVAR at authors＇ hospital during the period from March 2007 to May 2014, were retrospectively analyzed. Both the in-operative and postoperative imaging findings and the characteristics of the endoleak were analyzed, and the survival rate and quality of life were evaluated. Results Of the 189 patients, the in-operative and postoperative endoleak occurred in 25 （13.2%）. Acute endoleak was seen in 22 patients, including type Ⅰ endoleak （n=14, 7.4%） and type Ⅱ endoleak （n=8, 4.2%）. Delayed endoleak was seen in 3 patients, including type Ⅱ endoleak （n：2, 1.1%） and type Ⅲ endoleak （n=1, 0.5%）. After TEVAR, patients＇ quality of life was not decreased, no serious complications such as paraplegia or renal artery ischemia occurred. Conclusion The incidence rates of endoleak vary with the endoleak type and influence factors. In acute and delayed endoleak, type Ⅰ and type Ⅱ are most commonly seen.
出处
《介入放射学杂志》
CSCD
北大核心
2016年第10期908-911,共4页
Journal of Interventional Radiology
关键词
胸主动脉夹层腔内修复术
内漏
分类
thoracic endovascular aneurysm repair
endoleak
classification
