[1]刘光锐,郭 曦,李铁铮,等.同期胸主动脉腔内修复与肾动脉覆膜支架植入治疗Stanford B型主动脉夹层伴近肾动脉再破口15例[J].介入放射学杂志,2018,27(08):721-724.
 LIU Guangrui,GUO Xi,LI Tiezheng,et al.Simultaneous performance of TEVAR and renal artery covered stent implantation for Stanford type B aortic dissection complicated by large reentry adjacent to renal artery[J].journal interventional radiology,2018,27(08):721-724.
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同期胸主动脉腔内修复与肾动脉覆膜支架植入治疗Stanford B型主动脉夹层伴近肾动脉再破口15例()

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

卷:
27
期数:
2018年08期
页码:
721-724
栏目:
心脏介入
出版日期:
2018-08-25

文章信息/Info

Title:
Simultaneous performance of TEVAR and renal artery covered stent implantation for Stanford type B aortic dissection complicated by large reentry adjacent to renal artery
作者:
刘光锐 郭 曦 李铁铮 韩晓峰 薛玉国 黄连军
Author(s):
LIU Guangrui GUO Xi LI Tiezheng HAN Xiaofeng XUE Yuguo HUANG Lianjun
Department of Interventional Diagnosis and Treatment, Affiliated Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
关键词:
【关键词】 主动脉夹层 再破口 肾动脉 覆膜支架
文献标志码:
A
摘要:
【摘要】 目的 评价同期胸主动脉腔内修复术(TEVAR)与肾动脉覆膜支架植入术治疗Stanford B型主动脉夹层(AD)伴近肾动脉较大再破口的中期疗效。方法 2014年1月至2016年1月间共对15例Stanford B型AD患者行同期TEVAR与肾动脉覆膜支架植入术。其中男12例,女3例;年龄35~67岁,平均(48.93±6.42)岁。术前完善胸主动脉CTA检查。局部麻醉联合静脉强化麻醉下行经股动脉置管TEVAR术,隔绝近端原发破口,同期行肾动脉覆膜支架移植术隔绝近肾动脉水平较大再破口。收集分析影像学和实验室检查资料,出院后随访1~3年,评估治疗效果。结果 所有患者均顺利完成手术,成功率为100%。15例共植入主动脉覆膜支架18枚,支架近端直径28~42 mm,远端直径24~42 mm,长度150~230 mm;植入肾动脉覆膜支架15枚(右肾动脉9例,左肾动脉6例), 支架直径5~8 mm,长度2.5~5 mm,其中3例予球囊后扩张。术前平均血清肌酐值为(82.41±12.32) mmol/L,术后12个月为(75.88±11.36) mmol/L。随访显示3例假腔完全重塑吸收,5例完全血栓化,7例部分血栓化,肾动脉覆膜支架通畅率100%。结论同期TEVAR与肾动脉覆膜支架植入术治疗B型AD伴近肾动脉较大再破口患者安全有效,部分患者可达到一期治愈。

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备注/Memo

备注/Memo:
(收稿日期:2017-07-06)
(本文编辑:边 佶)
更新日期/Last Update: 2018-08-17