[1]陈金鹏,柏志斌,计佳杰,等.Stanford B型主动脉夹层假腔供血动脉分支对腔内治疗后假腔重塑的影响[J].介入放射学杂志,2020,29(10):1039-1042.
 CHEN Jinpeng,BAI Zhibin,JI Jiajie,et al.The impact of the feeding- artery branch of the falselumen on the remodeling of false cavity in Stanford B aortic dissection after endovascular repair[J].journal interventional radiology,2020,29(10):1039-1042.
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Stanford B型主动脉夹层假腔供血动脉分支对腔内治疗后假腔重塑的影响()

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

卷:
29
期数:
2020年10
页码:
1039-1042
栏目:
临床研究
出版日期:
2020-10-25

文章信息/Info

Title:
The impact of the feeding- artery branch of the falselumen on the remodeling of false cavity in Stanford B aortic dissection after endovascular repair
作者:
陈金鹏 柏志斌 计佳杰 赵国峰 邓 钢 秦永林
Author(s):
CHEN Jinpeng BAI Zhibin JI Jiajie ZHAO Guofeng DENG Gang QIN Yonglin.
Department of Intervention and Vascular Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, Jiangsu Province 210009, China
关键词:
【关键词】 夹层动脉瘤 血栓形成 动脉重塑
文献标志码:
A
摘要:
【摘要】 目的 探讨胸主动脉腔内修复术(TEVAR)治疗Stanford B型主动脉夹层后,腹主动脉假腔供血动脉分支对远端假腔重塑的影响。 方法 单中心回顾性队列研究2005年8月至2018年8月东南大学附属中大医院采用TEVAR术治疗的56例急性和慢性Stanford B型主动脉夹层患者。通过CTA随访资料观察记录主动脉腹段假腔内血栓形成、腹主动脉内脏分支供血类型。 结果 56例患者腹主动脉分支真腔供血以假腔完全血栓形成和血栓吸收为主。腹主动脉假腔参与分支供血,包括双腔供血、完全假腔供血,假腔以部分血栓形成为主,同时有假腔通畅情况。有假腔参与分支供血合并有更多内膜破口,与假腔血栓形成呈负相关。结论 主动脉夹层TEVAR术后腹主动脉假腔供血可影响假腔血栓形成。假腔供血分支可能是假腔部分血栓形成或通畅的危险因素。

参考文献/References:

[1] Wang W, Duan W, Xue Y, et al. Clinical features of acute aortic dissection from the Registry of Aortic Dissection in China[J]. J Thorac Cardiovasc Surg, 2014, 148: 2995- 3000.
[2] 王喜明,张艳霞,余海彬,等. 85例Stanford B型主动脉夹层腔内修复治疗体会[J]. 介入放射学杂志, 2017, 26:651- 654.
[3] Tsai TT, Evangelista A, Nienaber CA, et al. Partial thrombosis of the false lumen in patients with acute type B aortic dissection[J]. N Engl J Med, 2007, 357: 349- 359.
[4] Qin YL, Deng G, Li TX, et al. Risk factors of incomplete thrombosis in the false lumen after endovascular treatment of extensive acute type B aortic dissection[J]. J Vasc Surg, 2012, 56: 1232- 1238.
[5] Hughes GC. Management of acute type B aortic dissection: ADSORB trial[J]. J Thorac Cardiovasc Surg, 2015, 149: S158- S162.
[6] 陶 然,梁惠民,冯敢生,等. Stanford B型主动脉夹层腔内修复术后血管重塑分析[J]. 介入放射学杂志, 2016, 25:206- 209.
[7] Zhu C, Huang B, Zhao J, et al. Influence of distal entry tears in acute type B aortic dissection after thoracic endovascular aortic repair[J]. J Vasc Surg, 2017, 66: 375- 385.
[8] Afifi RO, Sandhu HK, Leake SS, et al. Outcomes of patients with acute type B(DeBakey Ⅲ) aortic dissection: a 13- year, single- center experience[J]. Circulation, 2015, 132: 748- 754.
[9] Ge YY, Guo W, Cheshire N, et al. Preoperative thoracic false lumen branches relate to aortic remodeling after thoracic endovascular aortic repair for DeBakey Ⅲb aortic dissection[J]. J Vasc Surg, 2017, 65: 659.e2- 668.e2.
[10] Brunkwall J, Lammer J, Verhoeven E, et al. ADSORB: a study on the efficacy of endovascular grafting in uncomplicated acute dissection of the descending aorta[J]. Eur J Vasc Endovasc Surg, 2012, 44: 31- 36.
[11] Kamman AV, Brunkwall J, Verhoeven EL, et al. Predictors of aortic growth in uncomplicated type B aortic dissection from the Acute Dissection Stent Grafting or Best Medical Treatment (ADSORB) database[J]. J Vasc Surg, 2017, 65: 964.e3- 971.e3.
[12] 高永山,郭 曦,吴文辉,等. 杂交手术技术在复杂型 Stanford B 型主动脉夹层及其并发症治疗的临床研究[J]. 中华胸心外科杂志, 2017, 33:725- 728.
[13] Kim TH, Song SW, Lee KH, et al. The effect of false lumen procedures during thoracic endovascular aortic repair in patients with chronic DeBakey type ⅢB dissections[J]. J Vasc Surg, 2018, 68: 976- 984.
[14] Sobocinski J, Dias NV, Hongku K, et al. Thoracic endovascular aortic repair with stent grafts alone or with a composite device design in patients with acute type B aortic dissection in the setting of malperfusion[J]. J Vasc Surg, 2020, 71:400.e2- 407.e2
[15] Kazimierczak A, Rynio PP, Jedrzejczak T, et al. Expanded petticoat technique to promote the reduction of contrasted false lumen volume in patients with chronic type B aortic dissection [J]. J Vasc Surg, 2019,70:1782- 1791.

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备注/Memo

备注/Memo:
(收稿日期:2019- 11- 21)
(本文编辑:边 佶)
更新日期/Last Update: 2020-10-19