[1]王国权,翟水亭,李天晓,等.Stanford B型主动脉夹层腔内修复术后死亡原因分析[J].介入放射学杂志,2015,(11):950-953.
 WANG Guo- quan,ZHAI Shui- ting,LI Tian- xiao,et al.Analysis of the causes of death in patients with Stanford type B aortic dissection after endovascular repair[J].journal interventional radiology,2015,(11):950-953.
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Stanford B型主动脉夹层腔内修复术后死亡原因分析 ()

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

卷:
期数:
2015年11期
页码:
950-953
栏目:
血管介入
出版日期:
2015-11-25

文章信息/Info

Title:
Analysis of the causes of death in patients with Stanford type B aortic dissection after endovascular repair
作者:
王国权 翟水亭 李天晓 逯党辉 王 博 张东宾 史帅涛 张志东 梁 凯 符晓阳 张克伟 李 坤 李卫校 陈瑞阳
Author(s):
WANG Guo- quan ZHAI Shui- ting LI Tian- xiao LU Dang- hui WANG Bo ZHANG Dong- bin SHI Shuai- tao ZHANG Zhi- dong LIANG Kai FU Xiao- yang ZHANG Ke- wei LI Kun LI Wei- xiao CHEN Rui- yang
Department of Vascular Surgery, Henan Provincial People’s Hospital, Zhengzhou University, Zhengzhou, Henan Province 450003, China
关键词:
【关键词】 Stanford B型主动脉夹层 胸主动脉腔内修复术 围手术期 死亡原因
文献标志码:
A
摘要:
【摘要】 目的 分析胸主动脉腔内修复术(TEVAR)治疗Stanford B型主动脉夹层后患者死亡及其原因。方法 2004年2月至2014年12月,462例复杂性Stanford B型主动脉夹层患者在河南省人民医院接受TEVAR术治疗,其中男387例,女75例,平均(53.3±13.5)岁(18~89岁)。统计TEVAR术后患者死亡情况,并分析可能的致死原因。结果 TEVAR术后患者死亡7例(7/462,1.52%),其中男性5例,女性2例。可能的致死原因:夹层破裂3例(3/462,0.65%),肠道缺血2例(2/462,0.43%),呼吸功能衰竭1例(1/462,0.22%),心源性猝死1例(1/462,0.22%)。结论 TEVAR术治疗复杂性Stanford B型主动脉夹层安全有效,术后住院病死率较低。夹层破裂和肠道缺血为主要致死原因,值得临床关注。

参考文献/References:

[1] 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.
[2] 韩向军, 徐 克. B型主动脉夹层腔内修复治疗的荟萃分析[J]. 介入放射学杂志, 2011, 20: 530- 533.
[3] McEvoya S, Beddya P, Brennana I, et al. aortic dissection: an unexpected ultrasound finding[J]. Eur J Radiol Extra, 2009, 72: e33- e35.
[4] 杨 帆, 王家平, 龙 超, 等. 带膜支架治疗Stanford B型胸主动脉夹层的疗效分析[J]. 介入放射学杂志, 2015, 24: 197- 199.
[5] 严亚林, 宋 丹, 彭 剑, 等. Hybrid技术应用于Stanford B型主动脉夹层的近期疗效[J]. 中国介入心脏病学杂志, 2013, 21: 297- 300.
[6] 王志伟, 王家祥, 李 震, 等. 钙化B型主动脉壁间血肿的治疗[J]. 介入放射学杂志, 2014, 23: 575- 578.
[7] Poullis MP, Warwick R, Oo A, et al. Ascending aortic curvature as an independent risk factor for type A dissection, and ascending aortic aneurysm formation: a mathematical model[J]. Eur J Car- diothorac Surg, 2008, 33: 995- 1001.
[8] Lee JH, Kim EM, Ahn KT, et al. Significant left main coronary artery disease from iatrogenic dissection during coronary angiography[J]. Int J Cardiol, 2010, 138: e35- e37.
[9] Bossone E, Masiello P, Panza A, et al. Acute aortic dissection in the young: clinical series[J]. Minerva Chir, 2007, 62: 305- 307.
[10] Steingruber IE, Chemelli A, Glodny B, et al. Endovascular repair of acute type B aortic dissection: midterm results[J]. J Endovasc Ther, 2008, 15: 150- 160.
[11] Mastroroberto P, Onorati F, Zofrea S, et al. Outcome of open and endovascular repair in acute type B aortic dissection: a retros- pective and observational study[J]. J Cardiothorac Surg, 2010, 5: 23.

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备注/Memo

备注/Memo:
(收稿日期:2015-04-02)
(本文编辑:边 佶)
更新日期/Last Update: 2015-11-24