动脉腔内隔绝术治疗DeBakeym型主动脉夹层  

DeBakey Ⅲ dissecting aneurysm treated by way of aortic isolation.

作　　者：曹文峰[1] 董逸飞[1] 董书强[1] 李庆新[1] 宿华伟[1] 苗丽霞[1] 

机构地区：[1]兰州军区兰州总医院心血管外科,730050

出　　处：《中国综合临床》2009年第8期846-847,共2页Clinical Medicine of China

摘　　要：目的探讨动脉腔内隔绝术治疗DeBakeyⅢ型主动脉夹层的方法和疗效。方法对20例DeBakeyⅢ型主动脉夹层患者行动脉腔内隔绝术，其中7例为DeBakeyⅢa型，13例为DeBakeyⅢb型。影像学资料显示有5例在不同部位有2个以上撕裂口。术中7例带膜支架封闭左锁骨下动脉开口，另13例行左锁骨下动脉开口远端隔绝。结果全部病例经3～40个月随访，19例存活，1例18个月后因合并假腔支气管瘘大咯血死亡。结论血管腔内置入带膜支架型人工血管是治疗主动脉夹层的简便、安全、有效的方法。Objective To study the technical skill and therapeutic effect of aortic isolation for treating DeBakey Ⅲ dissecting aneurysm. Methods Among 20 cases of DeBakey Ⅲ dissecting aneurysm, 7 cases were with DeBakey Ⅲa and 13 cases were with DeBakey Ⅲ b. Imaging examinatin showed that among the 20 cases there were 5 cases with more than two tearings at differet site. Covered stent was used to close left subclavian artery in 7 cases and distal aortic isolation of left subclavian artery was conducted in other 13 cases. Restuls All cases were followed up for 3-40 months ,finding that 19 cases survived but one case died because of pseudocoele bronchial fistula hemoptysis 18 months later. Conclusions Endovasular covered stent grafts is the simple,safe and effective way to treat dissecting aneurysm.

关 键 词：主动脉夹层 支架 腔内隔绝术 

分 类 号：R654[医药卫生—外科学] R543.16[医药卫生—临床医学]