[1]张喆,杨碧波.覆膜血管支架治疗DebakeyⅢ型主动脉夹层[J].中国微创外科杂志,2008,08(1):70-71.
　Zhang Zhe,Yang Bibo..Endovascular StentGraft Placement for the Treatment of Debakey Ⅲ Type Aortic Dissections[J].Chinese Journal of Minimally Invasive Surgery,2008,08(1):70-71.
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覆膜血管支架治疗DebakeyⅢ型主动脉夹层()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年1期
页码:
70-71
栏目:
出版日期:
2008-10-22

文章信息/Info

Title:
Endovascular StentGraft Placement for the Treatment of Debakey Ⅲ Type Aortic Dissections
作者:
张喆; 杨碧波
北京大学第三医院心脏外科，北京100083
Author(s):
Zhang Zhe;  Yang Bibo.
Department of Cardiosurgery, Peking University Third Hospital, Beijing 100083, China
关键词:
主动脉夹层; 覆膜支架
Keywords:
Aortic dissection; Endovascular stentgraftDebakey
分类号:
R654.3
文献标志码:
A
摘要:
目的探讨覆膜血管支架治疗DebakeyⅢ型主动脉夹层的疗效。方法2001 年6月～2006年7月，经CT增强扫描确诊DebakeyⅢ型主动脉夹层31例。切开右或左侧股动脉置入覆膜血管内支架，封堵原发破口，置入后重复造影检查。结果支架置入全部成功，术后即可造影27例无内漏，4例轻度内漏。术后早期1例出现左上肢缺血，1例截瘫，其余患者无支架移位与远端脏器缺血。术后半年复查CT增强扫描，31例均示支架段内假腔消失，血栓形成。术后半年4例轻度内漏均好转；1例术后4年出现支架近端严重内漏，行开胸手术治疗。结论覆膜支架腔内修复术是治疗Debakey Ⅲ型主动脉夹层的有效方法，但远期效果有待进一步观察。
Abstract:
ObjectiveTo evaluate the efficacy of endovascular stentgraft placement for the treatment of Debakey Ⅲ type aortic dissection.MethodsFrom June 2001 to July 2006, 31 patients with Debakey Ⅲ type aortic dissection were diagnosed by contrastenhanced CT scan. Vascular access was obtained through the right or left femoral artery after arteriotomy and stentgraft was deployed into the true lumen to occlude the primary entry tear. Immediate aortography was performed after the procedure and the followup data of CT scan were evaluated.ResultsStentgraft deployment was successfully performed in all the patients. Immediate aortography after the procedure showed no leakage in 27 patients and minor leakage in 4. After the operation, one patient showed paraplegia, and one developed left arm ischemia. No stent movement or organ ischemia was found at the early postoperative stage in the other patients. Six months after the operation, in all the 31 patients, contrastenhanced CT scan showed the disappearance of the false lumen and thrombosis at the level of the stent; and the minor leakage of was improved in the 4 patients. Four years after the operation, one patient developed severe internal leakage at the approximal end of the stent, and was treated by thoracotomy. ConclusionsEndovascular stentgraft placement is effective for the treatment of Debakey Ⅲ type aortic dissection. However, further studies are needed to evaluate its longterm outcomes.

参考文献/References:

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更新日期/Last Update: 2013-10-22