[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.
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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
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《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。

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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