主动脉腔内隔绝术治疗降主动脉瘤  

作　　者：李富骊[1] 韦成信[1] 曹健斌[1] 李逢昌[1] 陈俞宏[1] 

机构地区：[1]广西柳州市人民医院心血管外科,柳州545006

出　　处：《北方药学》2013年第5期99-100,共2页Journal of North Pharmacy

摘　　要：目的:探讨主动脉腔内支架隔绝术治疗降主动脉瘤的可行性及疗效。方法:2009年2月～2013年1月,对52例stanfordB型主动脉夹层、5例真性动脉瘤、3例假性动脉瘤、15例主动脉壁间血肿合并主动脉穿透性溃疡行主动脉腔内隔绝术。在进行腔内修复治疗前再血管化2例,其中右颈总动脉—左颈总动脉旁路转流1例,无名动脉、左颈总动脉与升主动脉建立旁路1例,19例腔内隔绝直接封堵左锁骨下动脉,2例患者使用"烟囱"技术在左锁骨下动脉植入支架。结果:75例手术均获成功,2例I型内漏在近端添加cuff后纠正,有2例II型内漏。69例随访,随访1～35个月,平均(24.3±10.7)个月。1例II型内漏3个月后消失。结论:主动脉腔内支架隔绝术疗效可靠,创伤小,操作简单,并发症少。大多数降主动脉病变可采用腔内支架隔绝术治疗。Objective：To investigate the indications and efficacy of endovascular stenting for the treatment of Descending aortic aneurysm.Methods From February 2009 to January 2013,52 patients with Stanford type B aortic dissection,5 cases of true aneurysm,3 cases of pseudoaneurysm,and 15patients with intramural hematoma complicated with ulcer of the aortic wall were treated by endovagcular stenting in our hospital.Hybrid procedures included 1 right common carotid artery（RCCA）-LCCA bypass,1 innominate artery-left common carotid artery-ascending aorta bypass.Left subclavian artery was totally occluded in 19 patients,and 2 chimney stems were deployed.Results The operation was completed successfully in all of the 75cases.2cases had intraopcrative type I endoleaks,Cuff extension were used for treating type I endoleaks.2cases had intraopcrative type II endoleaks.A follow up of（24.3± 10.7）months（range1-35months）was carry out in 69 patients.1 case type II endoleaks closed spontaneously after three months of follow-up.Conclusions Endovagcular stenting is a simple,safe and effective method for Descending aortic aneurysm.

关 键 词：降主动脉瘤 B型主动脉夹层 腔内隔绝术 

分 类 号：R732.21[医药卫生—肿瘤]