[1]刘家祎,黄连军,范占明,等. 胸主动脉覆膜支架并左锁骨下动脉烟囱术疗效分析[J].介入放射学杂志,2012,(01):18-22.
 LIU Jia-yi,HUANG Lian-jun,FAN Zhan-ming,et al.Thoracic aortic stent-graft placement combined with left subclavian artery “chimney operation”: therapeutic analysis of 15 cases with insufficient proximal anchor area[J].journal interventional radiology,2012,(01):18-22.
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 胸主动脉覆膜支架并左锁骨下动脉烟囱术疗效分析 ()

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

卷:
期数:
2012年01期
页码:
18-22
栏目:
血管介入
出版日期:
2012-01-30

文章信息/Info

Title:
Thoracic aortic stent-graft placement combined with left subclavian artery “chimney operation”: therapeutic analysis of 15 cases with insufficient proximal anchor area
作者:
 刘家祎黄连军范占明张兆琪
首都医科大学附属安贞医院放射科, 北京 100029
Author(s):
LIU Jia-yi HUANG Lian-jun FAN Zhan-ming ZHANG Zhao-qi.

Department of Radiology, Affiliated Anzhen Hospital, Capital Medical University, Beijing 100029, China

关键词:
 【关键词】 主动脉 支架 锁骨下动脉近端锚定区
文献标志码:
A
摘要:
【摘要】 目的 探讨胸主动脉覆膜支架植入术在支架近端锚定区不足时左锁骨下动脉的处理方法及支架直接覆盖左锁骨下动脉开口并左锁骨下动脉“烟囱”术的可行性。方法 回顾分析2009年12月-2011年4月收治的支架近端锚定区不足的15例胸主动脉病变患者(B型夹层6例,假性动脉瘤1例,动脉瘤4例,穿透性溃疡4例),其中13例病变距左锁骨下动脉锚定区小于15 mm,2例大于15 mm。采用胸主动脉覆膜支架并左锁骨下动脉烟囱术治疗,观察脑及上肢缺血并发症发生情况。术后评价内漏?左锁骨下动脉显影等结果。结果 15例患者均成功地在主动脉内植入覆膜支架1枚,并在左锁骨下动脉植入“烟囱”支架1枚,术后患者均未出现神经系统并发症及左上肢严重缺血症状。术后5 d ~ 3个月复查,主动脉覆膜支架形态良好,未发现I型内漏,“烟囱”支架内血流通畅。结论 胸主动脉覆膜支架植入术中近端锚定区不足时,直接覆盖左锁骨下动脉开口并左锁骨下动脉“烟囱术”以延长锚定区并保持左锁骨下动脉通畅,更为安全。

参考文献/References:

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备注/Memo

备注/Memo:

(收稿日期:2011-07-19)

更新日期/Last Update: