[1]王国权,翟水亭,李天晓,等.覆膜支架血管腔内修复术后不可忽视的严重并发症——逆行性A型夹层[J].介入放射学杂志,2011,(12):940-943.
 WANG Guo-quan,ZHAI Shui-ting,LI Tian-xiao,et al.Retrograde type A dissection: a serious complication due to thoracic aortic endovascular stent-graft repair for Stanford type B aortic dissection[J].journal interventional radiology,2011,(12):940-943.
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覆膜支架血管腔内修复术后不可忽视的严重并发症——逆行性A型夹层 ()

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

卷:
期数:
2011年12期
页码:
940-943
栏目:
血管介入
出版日期:
2011-12-30

文章信息/Info

Title:
Retrograde type A dissection: a serious complication due to thoracic aortic endovascular stent-graft repair for Stanford type B aortic dissection
作者:
 王国权   翟水亭   李天晓   史帅涛   张克伟   李   坤
450003 郑州 河南省人民医院介入科
Author(s):
WANG Guo-quan ZHAI Shui-ting LI Tian-xiao SHI Shai-tao ZHANG Ke-wei LI Kun.
Department of Interventional Therapy Center, Henan Provincial People’s Hospital, Zhengzhou 450003, China
关键词:
 【关键词】   逆行性A 型夹层 覆膜支架血管腔内修复术 严重并发症
文献标志码:
A
摘要:
 【摘要】 目的 重视逆行性A型夹层发生的可能原因和预防方法。方法 2005年1月至2011年1月,对189例症状性Stanford B型主动脉夹层患者进行覆膜支架血管腔内修复术(TEVAR)治疗,其中男157例,女32例,年龄26 ~ 78岁,平均(51.2 ± 13.5)岁。135例随访3 ~ 63个月,平均32个月,随访率71.43%,54例失访,失访率28.57%。统计TEVAR 术后逆行性A型夹层发生率,分析可能出现的原因。结果 TEVAR术后2例(1.48%)发生逆行性A型夹层,均为男性患者,其中1例发生于围手术期,拒绝外科手术,保守治疗超过3年,目前存活。另1例发生于TEVAR术后1个月,急诊实施外科手术,随访3个月,目前存活。结论 覆膜支架系统、术中相关操作对血管壁的作用以及血管壁自身病变是TEVAR术后发生逆行性A型夹层的重要原因。其中,支架对血管壁的直接作用而诱发的A型夹层,尤其值得我们关注。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2011-11-10)
更新日期/Last Update: