[1]谷涌泉,齐立行,郭连瑞,等.腔内修复治疗累及左锁骨下动脉的主动脉夹层动脉瘤[J].介入放射学杂志,2016,(03):202-205.
 GU Yong- quan,QI Li- xing,GUO Lian- rui,et al.The endovascular repair of aortic dissection aneurysm involving left subclavian artery[J].journal interventional radiology,2016,(03):202-205.
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腔内修复治疗累及左锁骨下动脉的主动脉夹层动脉瘤 ()

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

卷:
期数:
2016年03期
页码:
202-205
栏目:
血管介入
出版日期:
2016-03-25

文章信息/Info

Title:
The endovascular repair of aortic dissection aneurysm involving left subclavian artery
作者:
谷涌泉 齐立行 郭连瑞 郭建明 俞恒锡 佟 铸 崔世军 高喜翔张 建 汪忠镐
Author(s):
GU Yong- quan QI Li- xing GUO Lian- rui GUO Jian- ming YU Heng- xi TONG Zhu CUI Shi- jun GAO Xi- xiang ZHANG Jian WANG Zhong- gao
Department of Vascular Surgery, Xuanwu Hospital of Capital Medical University, Vascular Surgery Institute of Capital Medical University, Beijing 100053, China
关键词:
【关键词】 主动脉夹层动脉瘤 腔内修复 复合手术 分支血管支架
文献标志码:
A
摘要:
【摘要】 目的 探讨累及左锁骨下动脉的主动脉夹层动脉瘤腔内修复治疗的手术方式及疗效。 方法 回顾性分析2004年1月至2014年12月采用不同腔内修复术式治疗56例主动脉夹层动脉瘤患者临床资料,其中男42例,女14例。采用“烟囱”技术重建左锁骨下动脉血流26例(A组),分支支架技术重建10例(B组),复合手术重建20例(C组)。术中使用国产覆膜支架26例,进口覆膜支架30例;全身麻醉48例,局部麻醉8例。结果 手术全部成功(100%),无手术死亡患者。A组植入裸支架11例,覆膜支架15例;C组4例先植入胸主动脉覆膜支架,直接覆盖左锁骨下动脉,再作腋-腋动脉人工血管旁路移植术;16例先作腋-腋动脉人工血管旁路移植术,再行主动脉腔内修复覆盖左锁骨下动脉。3组患者出院时CTA检查显示支架形态均良好,无明显移位,组间差异无统计学意义(P>0.05)。内漏发生在A组有4例(15.4%),B组1例(11%),C组1例(5%),组间差异均无统计学意义(P>0.05)。52例(92.9%)患者获平均23.5个月随访,死亡5例(9.6%),原因为心肌梗死(2例)、肿瘤(3例)。47例CTA随访发现6例仍有部分内漏,24例远端胸腹主动脉仍有夹层但未扩大,未作特殊处理,目前均在随访中。结论 “烟囱”技术、分支支架技术和复合手术修复治疗累及锁骨下动脉的主动脉夹层动脉瘤是安全有的。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2015-07-24)
(本文编辑:边 佶)
更新日期/Last Update: 2016-03-22