[1]张 涛,纪东华,王 峰.胸主动脉腔内修复术联合体外开窗技术治疗累及主动脉弓的复杂胸主动脉疾病[J].介入放射学杂志,2021,30(09):882-887.
 ZHANG Tao,JI Donghua,WANG Feng..Thoracic endovascular aortic repair combined with extracorporeal fenestration technique for the treatment of complex thoracic aortic diseases involving aortic arch[J].journal interventional radiology,2021,30(09):882-887.
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胸主动脉腔内修复术联合体外开窗技术治疗累及主动脉弓的复杂胸主动脉疾病()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年09
页码:
882-887
栏目:
血管介入
出版日期:
2021-09-25

文章信息/Info

Title:
Thoracic endovascular aortic repair combined with extracorporeal fenestration technique for the treatment of complex thoracic aortic diseases involving aortic arch
作者:
张 涛 纪东华 王 峰
Author(s):
ZHANG Tao JI Donghua WANG Feng.
Department of Interventional Therapy, Affiliated First Hospital of Dalian Medical University, Dalian, Liaoning Province 116011, China
关键词:
【关键词】 胸主动脉腔内修复术 主动脉弓 开窗支架 主动脉夹层
文献标志码:
A
摘要:
【摘要】 目的 报道胸主动脉腔内修复术(TEVAR)联合体外开窗技术治疗累及主动脉弓的复杂主动脉疾病的初步经验,并探讨其可行性、安全性和有效性。 方法 回顾性分析2017年2月至2019年11月大连医科大学附属第一医院在TEVAR术中采用体外开窗技术治疗的15例累及主动脉弓的复杂胸主动脉疾病患者临床资料。分析技术成功率、围术期死亡率和术后随访等。 结果 15例患者中,主体开窗支架近端植于主动脉Z0、Z1、Z2区各5例。移植物单开窗9例,双开窗4例,三开窗2例。总计重建26条分支血管,其中无名动脉3条、左颈总动脉8条、左锁骨下动脉11条、迷走右锁骨下动脉2条以及无名动脉、左颈总动脉共干各1条;人工遮盖左锁骨下动脉4条。术后所有重建分支血管即刻造影显示血流通畅,技术成功率100%。围术期死亡2例(13.3%),无缺血性脑卒中、截瘫等严重并发症发生。随访期失访2例(3条分支血管)。1例1条左锁骨下动脉狭窄,2例(13.3%)见少许内漏,均逐渐减少,2例死亡。 结论 TEVAR体外开窗技术治疗累及主动脉弓的复杂主动脉疾病可行、安全有效,近期效果满意。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2020- 05- 13)
(本文编辑:边 佶)
更新日期/Last Update: 2021-09-13