6例胸腹主动脉夹层的腔内隔绝术治疗  

Endovascular Graft Exclusion for Treatment of 6 Cases of Aortic Dissection

作　　者：孟磊[1] 张开广[1] 王成[1] 张毅刚[1] 

机构地区：[1]东南大学附属徐州医院心脏外科,江苏徐州221009

出　　处：《实用临床医学（江西）》2010年第12期40-41,46,共3页Practical Clinical Medicine

摘　　要：目的探讨腔内隔绝术治疗胸腹主动脉夹层的经验和效果。方法 4例胸主动脉夹层和2例腹主动脉夹层病人接受腔内隔绝术治疗,术前均行彩超、三维重建螺旋CT、MRI等检查确诊。结果术后DSA造影显示:6例动脉夹层消失,覆膜支架近远端与主动脉结合处无内漏,支架无移位。术后3～6个月彩超及CT随访显示腔内覆膜支架无移位及内漏。结论腔内隔绝术是一种创伤小、并发症少的治疗胸腹主动脉夹层的安全、有效的方法。Objective To summarize our experience and clinical effect in the treatment of aortic dissection with endovascular graft exclusion（EVGE）.Methods Four patients with thoracic aortic dissection and 2 patients with abdominal aortic dissection underwent EVGE.All patients were diagnosed by CDFI and three-dimensional reconstruction of spiral CT or MRI before operation.Results Instant postoperative DSA displayed that dissection disappeared in all patients and there was no endoleak and migration of stent-graft at the conjunctions of aorta and blood vessel prosthesis（BVP）.After 3～6 months of follow-up,no postoperative endoleak and stent movement occurred in all cases by CDFI and CT examination.Conclusion EVGE is a safe and effective method to treat aortic dissection with the advantages of micro-invasion and less severe complications.

关 键 词：主动脉夹层 覆膜支架腔内隔绝术 覆膜支架-人造血管 

分 类 号：R543.1[医药卫生—心血管疾病] R815[医药卫生—内科学]