腔内血管支架植入治疗胸主动脉夹层  

Endovascular stent graft treatment of thoracic aortic dissections

作　　者：杨胜利[1] 刘惠亮[1] 黄连军[2] 罗建平[1] 刘英[1] 荆丽敏[1] 梁海清[1] 王书同[1] 邓平[1] 

机构地区：[1]武警总医院心内科,北京市100039 [2]中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院放射科

出　　处：《心血管康复医学杂志》2006年第2期135-137,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的：总结腔内血管支架植入治疗主动脉夹层临床经验。方法：胸主动脉夹层5例,男3例,女2例,平均年龄(53.5±4.5)岁。经多排 CT 增强扫描或磁共振成像确诊。切开右侧股动脉,植入腔内血管带膜支架,封堵原发破口。植入后重复造影检查。随访行胸部 X 线平片与多排螺旋 CT 检查。结果：支架植入均成功,术后即刻造影5例均无内漏。降主动脉及腹主动脉真腔均明显扩大,远端降主动脉及分支供血均有明显改善。术后3月随访,降主动脉及腹主动脉真腔扩大,近端夹层动脉瘤消失。结论：腔内血管带膜支架植入治疗胸主动脉夹层近期疗效满意。Objective： To investigate the clinic experience of endovascular stent graft treatment for the thoracic aortic dissection. Methods ： Five patients with thoracic aortic dissection were diagnosed by contrast enhanced Multi-slice CT or MRI, including 3 man and 2 woman, mean age （53.5±4.5） years. Vascular access was obtained through femoral artery after surgical arteriotomy and stent graft was deployed in the true lumen to occlude the primary entry tear. Immediate aortography was performed after procedure and the follow up,data about X ray and multi-slice CT was evaluated. Results： Stent graft deployment was successfully performed. Immediate aortography after procedure showed no leakage in 5 patients. The diameters of thoracic and abdominal aortic true lumen increased significantly. Improvements of the blood flow in the distal aorta and abdominal branch vessels were all achieved. The serial follow up data demonstrated that true lumen of thoracic and abdominal aorta was enlarged. Conclusion： Endovascular stent graft deployment may be a satisfactorily effective treatment for thoracic aortic dissections.

关 键 词：支架 主动脉瘤 血管成形术 

分 类 号：R540.46[医药卫生—心血管疾病]