[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:

[1] Neuhauser B, Greiner A, Jaschke W. et al. serious complications following endovascular thoracic aortic stent-graft repair for type B dissection[J]. Eur J Cardio-thoracic Surg, 2008, 33: 58 - 63.
[2] Kpodonu J, Preventza O, Ramaiah VG, et al. Retrograde type A dissection after endovascular stenting of the descending thoracic aorta. Is the risk real?[J]. Eur J Cardiothorac Surg, 2008, 33: 1014 - 1018.
[3] Czerny M, Zimpfer D, Rodler S, et al. Endovascular stent-graft placement of aneurysms involving the descending aorta originating from chronic type B dissections[J]. Ann Thorac Surg, 2007, 83: 1635 - 1639.
[4] Xu SD, Huang FJ, Yang JF, et al. Early and midterm results of thoracic endovascular aortic repair of chronic type B aortic dissection[J]. Thorac Cardiovasc Surg, 2010, 139: 1548 - 1553.
[5] Parsa CJ, Schroder JN, Daneshmand MA, et al. Midterm results for endovascular repair of complicated acute and chronic type B aortic dissection[J]. Ann Thorac Surg, 2010, 89: 97 - 102; discussion102.
[6] Kim U, Hong SJ, Kim J, et al. Intermediate to long-term outcomes of endoluminal stent-graft repair in patients with chronic type B aortic dissection[J]. J Endovasc Ther, 2009, 16: 42 - 47.
[7] Czerny M, Roedler S, Fakhimi S, et al. Midterm results of thoracic endovascular aortic repair in patients with aneurysms involving the descending aorta originating from chronic type B dissections[J]. Ann Thorac Surg, 2010, 90: 90 - 94.
[8] Svensson LG, Kouchoukos NT, Miller DC, et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts[J]. Ann Thorac Surg, 2008, 85: S1 - 41.
[9] Nienaber CA, Rousseau H, Eggebrecht H, et al. Randomized comparison of strategies for type B aortic dissection: the INvestigation of STEnt Grafts in Aortic Dissection (INSTEAD) trial[J]. Circulation, 2009, 120: 2519 - 2528.
[10] Trimachi S, Nienaber CA, Rampoldi V, et al. IRAD investi-gators role and results of surgery in acute type B aortic dissection. Insights from the International Registry of Acute Aortic Dissection[J]. Circulation, 2006, 114: I357 - I364.

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备注/Memo

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