覆膜支架腔内修复术治疗Stanford B型主动脉夹层

• 作 者: 李智 倪才方 金泳海 沈振亚 黄皓岳 樊宝瑞 陈柯
• 机 构: 苏州大学附属第一医院介入科,苏州大学附属第一医院心脏大血管外科,
• 出 处: 苏州大学学报(医学版)
• 发表日期: 2011年06期
• 关键词: 腔内修复术 Stanford B Stanford 覆膜支架 主动脉夹层 围手术期并发症 动脉损伤 猪尾巴导管 逆行性 撕裂口

目的探讨覆膜支架腔内修复术治疗Stanford B型主动脉夹层(AoD)的近期效果,分析围手术期并发症的发生率及预防措施。方法分析41例Stanford B型AoD腔内修复术的临床资料。结果临床成功率95.1%(39/41);主要并发症发生率4.9%(2/41),包括持续内漏1例,逆行性Stanford A型夹层1例;次要并发症包括植入后炎症综合症5例、入路动脉损伤1例。结论覆膜支架腔内修复术治疗Stanford B型近期疗效好,主要并发症发生率低,但不容忽视。

Objective To investigate the short-term effect of endovascular stent-graft in the treatment of Stanford type B aortic dissection (AoD) and analyze the incidence of perioperative complications and preventive measures. Methods Clinical data of 41 cases of Stanford type B AoD endovascular repair were analyzed. Results The clinical success rate was 95.1% (39/41). The main complication rate was 4.9% (2/41), including 1 case of persistent internal leakage and 1 case of retrograde Stanford type A dissection. Secondary complications included post-implantation inflammation Syndrome in 5 cases, 1 case of arterial injury. Conclusion Endovascular stent-graft repair of Stanford B has good short-term curative effect and low incidence of major complications, but it can not be ignored.