腔内隔绝术治疗DebakeyⅢ型夹层动脉瘤  

Endovascular graft exclusion for Debakey type Ⅲ of aortic dissection aneurysm

作　　者：李炳[1] 江海[1] 李江山[2] 陈予民[1] 刘传泉[1] 杨皓[1] 田磊[1] 

机构地区：[1]郧阳医学院附属人民医院胸心外科,湖北十堰442000 [2]郧阳医学院附属人民医院影像中心,湖北十堰442000

出　　处：《郧阳医学院学报》2005年第5期280-282,共3页Journal of Yunyang Medical College

摘　　要：目的:探讨DebakeyⅢ型夹层动脉瘤腔内隔绝术的手术指征、术前评估方法、手术操作技巧、并发症防治原则及临床应用前景。方法:术前采用CT血管成像(CTA)对夹层动脉瘤进行评估,术中在数字减影(DSA)监视下经股动脉将移植物导入胸主动脉封闭夹层裂口。结果:移植物成功地被植入,高血压危象得到有效控制,胸痛明显缓解。术后随访3月,无任何并发症。结论:腔内隔绝术治疗DebakeyⅢ型夹层动脉瘤是一种创伤小、恢复快、安全、有效的新方法,远期疗效有待跟踪随访。Objective To explore the operation indications, preoperative evaluation technique and clinical prospect of endovascular graft exclusion for aortic dissection aneurysm. Methods CTA was used as preoperative evaluation method, the stentgraft was inserted from the femoral artery to exclude the tear of dissection under DSA guidance. Result The graft was installed successfully, hypertension crisis was controled effectively, chest pain disappeared, no complications were found during postoperative and 3 - month follow - up. Couclusion Endovascular graft exclusion may be a safe and effective treatment for padents with aortic dissection aneurysms, further follow - up is necessary to for evaluating its long - term efficacy.

关 键 词：腔内隔绝术 动脉瘤 夹层 主动脉瘤 胸 

分 类 号：R654.3[医药卫生—外科学]