一体式分支支架治疗主动脉弓部疾病临床单中心初期结果  

Endovascular repair for aortic arch lesions with unibody bifurcated stent-graft: preliminary results of a single-center experience

作　　者：马军[1] 孙占峰[1] 张英男[1] 张天华[1] 王海涛[1] 孙庆峰[1] 姜维良[1] 

机构地区：[1]哈尔滨医科大学附属第二医院血管外科,哈尔滨150086

出　　处：《中国血管外科杂志（电子版）》2014年第4期208-211,共4页Chinese Journal of Vascular Surgery(Electronic Version)

基　　金：哈尔滨市科委后备带头人基金(2011RFXYS005)

摘　　要：目的探讨Castor主动脉弓分支型支架治疗主动脉弓部疾病的有效性和安全性。方法回顾性分析本中心2013年4月至2014年5月期间,接受Castor支架治疗主动脉疾病的14例患者资料,其中主动脉夹层10例,胸主动脉瘤2例,主动脉穿通性溃疡2例。结果手术成功率为100%。围手术期死亡率为0,无I型内漏,无脑卒中、急性心肌梗死、上肢缺血等严重并发症。6个月随访CT血管造影显示主动脉胸段假腔内血栓形成,无内漏发生。结论 Castor支架释放方式合理,定位准确,可以有效隔绝主动脉病变和重建左侧锁骨下动脉。本组患者未见严重近期并发症发生,远期结果有待继续随访观察。Objective To investigate the effectiveness and safety of Castor, a kind of aortic arch bifurcated stent-graft, in the treatment of aortic disease.Methods The clinical data of 14 patients, including 10 aortic dissections, 2 thoracic aortic aneurysms and 2 penetrating aortic ulcer, treated by Castor system from June 2013 to May 2014 were analyzed retrospectively.Results The operation success rate was 100% with no type I endoleak. Perioperative mortality is 0, and there were no serious complications such as strokes, acute myocardial infarction and ischemia of arms. At 6-month after operation, computed tomography angiography(CTA) showed that thrombosis in the false lumen occurred with no endoleak.Conclusion Castor stent system with reasonable placement and good positioning can effectively exclude aortic lesions and reconstruct left subclavian artery in the treatment of aortic disease by thoracic endovascular aortic repair(TEVAR). Shortterm results are good but long-term results should be futher followed up.

关 键 词：主动脉疾病 主动脉腔内修复术 分支支架 左锁骨下动脉 

分 类 号：R654.3[医药卫生—外科学]