主动脉夹层或瘤的腔内隔绝术临床评价(附23例报道)  

Clinical Evaluation of Endovascular Stent-graft Exclusion for Aortic Aneurysms(with Report of 23 Cases)

作　　者：王家平[1] 杨达宽[1] 闫东[1] 袁曙光[1] 杨绍军[1] 李迎春[1] 杨青[1] 麻东辉[1] 吴起杰[1] 龚颖娜[1] 童玉云[1] 

机构地区：[1]昆明医学院第二附属医院血管介入室,昆明650101

出　　处：《放射学实践》2006年第2期166-168,共3页Radiologic Practice

摘　　要：目的:评价应用腔内血管支架治疗腹主动脉瘤的优点。方法:对24例患者行DSA和带膜血管腔内支架植入隔绝手术治疗,其中Stanford B型夹层动脉瘤19例,真性腹主动脉瘤4例,假性腹主动脉瘤1例。所有病例均采用TALENTTM带膜支架移植物系统。术后对所有患者行螺旋CT随访。结果:除1例因胸主动脉夹层破口位于左锁骨下动脉开口处,无法放置腔内血管支架而行开胸手术外,余23例均顺利放入,术后患者症状完全消失,全部患者在随访期间均未出现术前症状,未见相关并发症。结论:应用带膜支架治疗胸主动脉Stanford B型夹层、真性和假性腹主动脉瘤,其效果较单纯开放式手术效果好且不良反应小,值得在临床上推广和应用。Objective： To evaluate the advantages in endovascular repair of aortic aneurysms. Methods： Angiography and endovascular stent gragt exclusion was performed on 24 patients,who presented with thorathic aorta dissection （TAD） or abdominal aortic aneurysms （AAA）. TALENTTM （World Medical Co, American） systems were used in all patients. Results： 23 patients successfully tolerated the procedure, except one who had an insufficient length of aorta between the tear and the ostia of the left subclavian artery which was considered contraindication of this therapy. All symptoms related to aneurysms ceased postoperatively and no severe relative complications appeared during follow up period. Conclusion： Endovascular therapy with stent-graft for TAD of Stanford B type or AAA is more efficacious than traditional open surgery,minimally invasive and with the least side-effects,it is the best method of therapy for the majority of patients with TAD or AAA.

关 键 词：支架 主动脉瘤 放射学 介入性 

分 类 号：R543.1[医药卫生—心血管疾病]