覆膜支架腔内隔绝术治疗主动脉夹层动脉瘤121例  

Endovascular stent-graft exclusion for aortic dissections

作　　者：张宏家[1] 刘愚勇[1] 李海洋[1] 贡鸣[1] 王晓龙[1] 孙衍庆[1] 

机构地区：[1]首都医科大学附属北京安贞医院心外科,100029

出　　处：《中华胸心血管外科杂志》2007年第3期175-177,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的总结应用覆膜支架腔内隔绝技术治疗主动脉夹层的经验。方法 2003年10月至2007年2月完成覆膜支架腔内隔绝术治疗主动脉夹层动脉瘤121例,其中男86例,女37例;年龄29～72岁,平均(53.7±13.8)岁。Stanford B 型114例、Stanford A 型4例,外伤致胸降主动脉破裂3例。4例因主动脉破裂行急诊手术。结果全组无死亡。未出现脊髓损伤、支架移位、锁骨下动脉窃血等并发症。术后并发症包括中度以上发热35例,Ⅳ型内漏11例,Ⅰ型内漏1例,肾功能衰竭1例,均经治缓解。术后平均住院(4.0±1.3)d。结论覆膜支架腔内隔绝术是一种治疗 Stanford B 型和部分 Stanford A 型主动脉夹层动脉瘤的有效方法,其手术创伤小、术后恢复快,疗效肯定、安全性高。Objective To summarize the preliminary experience of endovaular stent-graft exclusion for aortic dissections.Methods From October 2003 to Febnmry 2007, 121 patients [86 males, 37 females, mean age （53.7 ± 13.8） years, range 29-72 years] underwent endowascular stent-graft exclusion for aortic dissections, including Stanford B in 114 patients, Stanford A in 4, and trrmafic aortic rapture in 3. An emergency operation was performed in 4 patients for acute aortic rapture. Rcsalts No primary conversion was needed. There was no postoperative death, no spinal cord ischemic injury, or stent displacement or subclavian steal syndrome. Postoperative hospital stay time was（4.0± 1.3） days. Complications included fever in 35 patients, type endoleak in 11, type I endoleak in 1 and acute renal dysfunction in 1. Conclusion Endovascular thoracic aorta repair is an effective, less invasire and safe surgery for patients with Stanford B or some Stanford A aortic dissection and trsumatic aortic rapture.

关 键 词：主动脉瘤 栓塞 治疗性 支架 心脏外科手术 

分 类 号：R654.3[医药卫生—外科学]