B型主动脉夹层腔内治疗技术要点以及应避免的误区  

Essentials and Misunderstanding of Treatment Technology for Type B Aortic Dissection Endovascular

作　　者：陆清声[1] 景在平[1] 

机构地区：[1]第二军医大学附属长海医院血管外科全军血管外科研究所,上海200433

出　　处：《临床误诊误治》2014年第3期4-6,共3页Clinical Misdiagnosis & Mistherapy

基　　金：国家自然科学基金项目(81170291);国家自然科学基金项目(30772140)

摘　　要：B型主动脉夹层腔内治疗已有10余年历史,目前国内越来越多医院在起步尝试开展此项技术,对此我们总结开展B型主动脉夹层腔内治疗的经验与教训,认为技术开展初期应注意如下几点:充分重视术前血管评估与测量,准确选择近端锚定区,勿轻易覆盖左锁骨下动脉,合理选择移植物长度,合理选择远端移植物口径以预防破裂,重视围手术期血压管理,加强远期随访。总之,把握技术要点,有助于缩短学习曲线,避免治疗误区,提高手术安全性。Type B aortic dissection endovascular treatment has a history more than 10 years. More and more hospitals attempt to develop this technology. In the initial development of endovascular treatment experience and lesson of type B aortic dissection, technology to carry out early we should pay attention to the following several points. Full attention to preoperative vascular evaluation and measurement, To accurately choose the proximal landing zoon, Dont easily covering the left subclavian artery, The reasonable choice of graft length, The reasonable selection of distal diameter of graft to prevent rupture, pay atten- tion to perioperative blood pressure management, Strengthen the long-term follow-up. In a word, grasping the technical points will help to shorten the learning curve, avoid misunderstanding in treatment and improve the safety of operation.

关 键 词：主动脉疾病 动脉瘤 夹层 治疗 

分 类 号：R543.16[医药卫生—心血管疾病]