血管腔内覆膜支架治疗胸主动脉夹层68例  

Endovascular stent-graft treatment of acute or chronic Stanford type B aortic dissection in 68 cases

作　　者：戴继民[1] 王建宇[1] 姜楠[1] 江力[1] 魏东[1] 

机构地区：[1]天津胸科医院心脏外科,天津300051

出　　处：《中国心血管杂志》2007年第4期292-293,共2页Chinese Journal of Cardiovascular Medicine

摘　　要：目的探讨直筒型和分支型覆膜支架治疗急、慢性Stanford B型胸主动脉夹层的方法及效果。方法对天津胸科医院治疗68例Stanford B型胸主动脉夹层的临床资料作回顾性分析。结果使用直筒型覆膜支架52只,分支型覆膜支架22只,在不影响左上肢血流的前提下完全封堵动脉内膜破口,真腔血流恢复正常,近期疗效满意。结论使用覆膜支架腔内隔离术治疗Stanford B型胸主动脉夹层,符合其病理解剖特点,能很好的封闭内膜破口,具有创伤小、适应证宽、治疗效果确切、康复迅速等优点,为高龄高危患者提供了治疗机会。　Objective To study the results of endovascular stent-graft implantation in treatment of acute or chronic Stanford B aortic dissection.Methods A retrospective analysis was performed in 68 cases of type B aortic dissections who were treated in Tianjin Chest Hospital from Feb 2003 to Jun 2006.Results Sixty-eight stent-grafts were successfully implanted on condition that the blood flow of left upper limb was not affected.The inner-leaks were completely occluded and blood flow of the true lumen resumed satisfactorily.Conclusions Stent-graft in treating Stanford B dissections is pathologically and anatomically suitable for the occlusion of the inner-leak.The ischemia of upper limb and the steal syndrome can be avoided.It is a good choice for the elder ly and high-risk Stanford B aortic dissection patients.

关 键 词：覆膜支架 STANFORD B型 胸主动脉夹层 

分 类 号：R543.1[医药卫生—心血管疾病]