[1]陈锦州,赵 卫,朱培欣,等.单分支型主动脉覆膜支架治疗Stanford B型主动脉夹层的临床价值 [J].介入放射学杂志,2020,29(06):564-567.
 CHEN Jinzhou,ZHAO Wei,ZHU Peixin,et al.The application value of single- branch aortic covered- stent in treating aortic dissection of Stanford type B[J].journal interventional radiology,2020,29(06):564-567.
点击复制

单分支型主动脉覆膜支架治疗Stanford B型主动脉夹层的临床价值
()

PDF下载中关闭

分享到:

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

卷:
29
期数:
2020年06
页码:
564-567
栏目:
血管介入
出版日期:
2020-06-25

文章信息/Info

Title:
The application value of single- branch aortic covered- stent in treating aortic dissection of Stanford type B
作者:
陈锦州 赵 卫 朱培欣 牛国浩 李 晓
Author(s):
CHEN Jinzhou ZHAO Wei ZHU Peixin NIU Guohao LI Xiao.
Department of Interventional Radiology, General Hospital, Medical Group of Pingdingshan Coal and Shenma Association, Pingdingshan, Henan Province 467000, China
关键词:
【关键词】 夹层支架 血管腔内修复 CT血管造影
文献标志码:
A
摘要:
【摘要】 目的 探讨单分支型主动脉覆膜支架在Stanford B型主动脉夹层单纯腔内隔绝治疗中的临床价值。 方法 2017年7月至2018年10月采用国产CastorTM单分支型主动脉覆膜支架行单纯腔内隔绝治疗19例Stanford B型主动脉夹层患者,观察术后即时血管造影结果。术后1个月门诊随访,术后6个月复查主动脉CTA。以手术成功率、假腔消失率和分支支架通畅率为有效性终点指标,观察相应不良事件。 结果 19例患者支架均释放成功,技术成功率100%。围手术期无不良事件发生。随访期患者无死亡,4例门诊随访时出现左上肢缺血症状,经对症治疗后缓解。无严重内漏发生,分支支架通畅率100%,夹层假腔均出现血栓化,假腔直径平均缩小(10.3±1.2) mm(肺动脉分叉平面)。 结论 单分支型主动脉支架对于近端破口距左锁骨下动脉开口<15 mm或逆撕至左锁骨下动脉根部的Stanford B型主动脉夹层,是有效的单纯腔内隔绝方法。

参考文献/References:

[1] 徐洋洋,王效增,周徽徽,等. 超声技术在评估冠心病患者外周血管与冠状动脉粥样硬化相关性应用[J]. 临床军医杂志,2017, 45:1126-1129.
[2] Huang X, Huang L, Sun L, et al. Endovascular repair of Stanford B aortic dissection suing two stent grafts with different sizes[J]. J Vasc Surg, 2015, 62:43- 48.
[3] Fanelli F, Cannavale A, O’Sullivan GJ, et al. Endovascular repair of acute and chronic aortic type B dissections: main fectots affecting aortic remodeling and clinical outcome[J]. JACC Cardiovasc Interv, 2016, 9:183-191.
[4] 陈 浩,刘 伟,王 宏, 等. 复杂型Stanford B型主动脉夹层腔内修复术中左锁骨下动脉重建方式分析[J]. 现代生物医学进展, 2017,17:323-326.
[5] 刘日辉, 丁 莹, 杨俊波, 等. 个体化手术治疗急性主动脉夹层患者14例疗效观察[J]. 疑难病杂志, 2014, 13:118-120.
[6] 徐 江, 胡何节, 王晓天, 等. 亚急性期Standford B型主动脉夹层远端破口特点及其对腔内修复术患者主动脉重塑的影响[J]. 山东医药, 2018, 58:38- 41.
[7] Degirmenci T, Gunlusoy B, Kozacioglu Z, et al. Comparison of Ho: YAG laser and pneumatic lithotripsy in the treatment of impacted ureteral stones: an analysis of risk factors[J]. Kaohsiung J Med Sci, 2014, 30:153-158.
[8] Koifman E, Garcia- Garcia HM, Kuku KO, et al. Comparison of the efficacy and safety of orbital and rotational atherectomy in calcified narrowings in patients who underwent percutaneous coronary intervention[J]. Am J Cardiol, 2018, 121:934- 939.
[9] Katritsis DG, Korovesis S, Tzanalaridou E, et al. Spot drug-eluting stenting for long coronary stenoses: long-term results of a randomized clinical study[J]. J Interv Cardiol, 2011, 24:437- 441.
[10] Writing C, Riambau V, Bockler D, et al. Editor's choice mangement of descending thoracic aorta diseases: clinical practice guidelines of the European Society for Vascular Surgery(ESVS)[J]. Eur J Vasc Endovsc Surg, 2017, 53:4-52.
[11] Rizvi AZ, Mruad MH, Fairman RM, et al. The effect of left subclavian artery coverage on morbidity and mortality in patients undergoing endovascular thoracic aortic interventions: a systematic review and meta-analysis[J]. J Vasc Surg, 2009, 50:1159-1169.
[12] Matsumura JS, Lee WA, Mitchell RS, et al. The Society for Vascular Surgery practice guidelines: management of the left subclavian artery with thoracic endovascular aortic repair[J]. J Vasc Surg, 2009, 50:1155-1158.
[13] 冯 睿, 景在平, 包俊敏, 等. Standford B型主动脉夹层动脉瘤腔内隔绝术后截瘫的预防对策[J]. 介入放射学杂志, 2003, 12:254-256.
[14] 陈 菲, 邵娟娟, 贾 明, 等. 全胸腹主动脉置换术后脊髓缺血的临床分析[J]. 心肺血管杂志, 2015, 34:694- 697.
[15]秦少华,高学军,郝庭嘉,等.单分支支架治疗锚定区不足Standford B型主动脉夹层[J]. 中国血管外科杂志?电子版, 2019, 11:28-36.
[16] Patterson B, Cobb RJ, Karthikesalingam A, et al. A systematic review of aortic remodeling after endovascular repair of type B aortic dissection: methods and outcoms[J]. Ann Thorac Surg, 2014, 97:588-595.

相似文献/References:

[1]张鑫 刘建民 洪波 许奕 黄清海 张珑 赵文元 周晓平.多支架治疗颅内外动脉狭窄[J].介入放射学杂志,2003,(03):198.
[2]谢剑,李明华.颈动脉支架成形术的报道规范化讨论[J].介入放射学杂志,2005,(06):665.
 XIE Jian LI Ming-hua.Standardization of the reports for carotid artery stenting[J].journal interventional radiology,2005,(06):665.
[3]飞勇,丁莹莹,黄明,等.125I粒子支架治疗晚期食管癌的临床初步探讨[J].介入放射学杂志,2006,(01):45.
 FEI Yong,DING Ying-ying,HUANG Ming,et al.Clinical primary results on late esophageal cancer by self-expandable and 125I seed[J].journal interventional radiology,2006,(06):45.
[4]赵辉,倪才方.覆膜自膨式金属内支架治疗食管瘘[J].介入放射学杂志,2006,(02):112.
 ZHAO Hui,NI Cai-fang.Self-expanding covered stent for esophageal fistula[J].journal interventional radiology,2006,(06):112.
[5]周子奎,陈宝菊,林长平,等.食管支架植入术后并发症及相关因素的探讨[J].介入放射学杂志,2006,(02):114.
 ZHOU Zi-kui,CHEN Bao-ju,LIN Chang-ping.Study of the complications after esophageal stent placement and the correlative factors[J].journal interventional radiology,2006,(06):114.
[6]王峰,徐克.积极科学地开展管腔内支架的临床应用[J].介入放射学杂志,2006,(03):129.
 WANG Feng,XU Ke.Positively and reasonably clinical application of endoluminal stenting[J].journal interventional radiology,2006,(06):129.
[7]刘清欣,王建华,罗剑钧,等.肝癌致下腔静脉梗阻的内支架治疗[J].介入放射学杂志,2007,(03):168.
 LIU Qing-xin,WANG Jian-hua,LUO Jian-jun,et al.Stenting in malignant obstruction of inferior vena cava caused by hepatic carcinoma[J].journal interventional radiology,2007,(06):168.
[8]焦力群,李慎茂,李萌,等.支架成形术治疗颈动脉狭窄的脑血流定量评价[J].介入放射学杂志,2007,(05):295.
 JIAO Li-qun,LI Shen-mao,LI Meng,et al.Quantitative evaluation of cerebral blood flow by XeCT in stenting angioplasty for carotid artery stenosis[J].journal interventional radiology,2007,(06):295.
[9]萧毅,弓静,田建明,等.64层螺旋CT冠状动脉造影评价冠状动脉支架再狭窄[J].介入放射学杂志,2007,(05):312.
 XIAO Yi,GONG Jing,TIAN Jian-ming,et al.Evaluation of in-stent restenosis in coronary arteries with64multislice computed tomography[J].journal interventional radiology,2007,(06):312.
[10]朱凤水,李慎茂,缪中荣,等.急性椎基底动脉闭塞的介入治疗[J].介入放射学杂志,2007,(05):348.
 Interventional therapy for acute vertebrobasilar arterial occlusions ZHU Feng-shui,LI Shen-mao,MIAO Zhong-rong,et al.Interventional therapy for acute vertebrobasilar arterial occlusions[J].journal interventional radiology,2007,(06):348.

备注/Memo

备注/Memo:
(收稿日期:2019- 05- 18)
(本文编辑:边 佶)
更新日期/Last Update: 2020-06-16