[1]葛 静,刘建平,张永恒,等.急性期Stanford B型主动脉夹层患者腔内修复术后主动脉重塑[J].介入放射学杂志,2021,30(11):1113-1118.
 GE Jing,LIU Jianping,ZHANG Yongheng,et al.Remodeling of aorta after thoracic endovascular aortic repair in patients with acute Stanford type B aortic dissection[J].journal interventional radiology,2021,30(11):1113-1118.
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急性期Stanford B型主动脉夹层患者腔内修复术后主动脉重塑()

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

卷:
30
期数:
2021年11
页码:
1113-1118
栏目:
血管介入
出版日期:
2021-11-25

文章信息/Info

Title:
Remodeling of aorta after thoracic endovascular aortic repair in patients with acute Stanford type B aortic dissection
作者:
葛 静 刘建平 张永恒 邹坪益 马 蓉 唐小娇 严高武
Author(s):
GE Jing LIU Jianping ZHANG Yongheng ZOU Pingyi MA Rong TANG Xiaojiao YAN Gaowu.
Department of Cardiovascular Surgery, Suining Municipal Central Hospital, Suining, Sichuan Province 629000, China
关键词:
【关键词】 主动脉夹层 胸主动脉腔内修复术 主动脉重塑
文献标志码:
A
摘要:
【摘要】 目的 探讨急性期Stanford B型主动脉夹层(TBAD)胸主动脉腔内修复(TEVAR)术后主动脉重塑及其演变过程。方法 回顾性分析2013年6月至2018年6月单中心诊断为急性期TBAD并行TEVAR治疗的217例患者临床和影像学资料。通过RadiAnt Dicom Viewer工作站进行图像后处理,测量主动脉峡部、肺动脉分叉、膈肌、腹腔干、左肾动脉开口及腹主动脉分叉平面的真腔、假腔直径和总直径,记录假腔血栓化程度。 结果 主动脉峡部、肺动脉分叉平面真腔增大、假腔缩小,差异均有统计学意义(P<0.05),假腔血栓化率高;膈肌、腹腔干、左肾动脉开口平面真腔增大、假腔缩小,真腔增大差异均有统计学意义(P<0.05),假腔缩小差异均无统计学意义(P>0.05),假腔血栓化率较高;腹主动脉分叉平面真腔增大、假腔增大,差异均无统计学意义(P>0.05),假腔血栓化率低。各平面术后总直径较术前无明显变化,差异均无统计学意义(P>0.05)。 结论 TEVAR术后胸降主动脉段重塑良好,真腔明显扩张,假腔明显缩小、血栓化率高。腹主动脉段重塑不良,可能与远端破口旷置有关。远端假腔直径和总直径变化不显著提示夹层可能稳定,远端破口暂无需手术处理,但严密影像学随访远端破口尚未处理患者十分重要。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2020- 07- 19)
(本文编辑:边 佶)
更新日期/Last Update: 2021-11-22