Stanford B型主动脉夹层动脉瘤的微创腔内治疗  

MINI-TRAUMATIC ENDOVASCULAR THERAPY FOR STANFORD B AORTIC DISSECTION

作　　者：包俊敏[1] 赵志青[1] 赵珺[1] 冯翔[1] 陆清声[1] 景在平[1] 

机构地区：[1]第二军医大学长海医院,上海200433

出　　处：《解放军医学杂志》2001年第9期638-640,共3页Medical Journal of Chinese People's Liberation Army

基　　金：军队杰出人才基金 (编号 98J0 0 5 );上海市卫生系统百人计划基金(编号 97BR0 47);上海长海医院学科攀登计划基金资助课题

摘　　要：为探讨腔内隔绝术治疗StanfordB型主动脉夹层动脉瘤适应证的选择及并发症的防治原则 ,回顾了1998年至 2 0 0 0年对 32例StanfordB型主动脉夹层动脉瘤实施的微创腔内隔绝术 (即经股动脉将支架 人造血管复合移植物导入主动脉封闭夹层裂口 )。移植物均为直型 ,长度 95～ 130mm ,口径 2 8～ 40mm。手术操作成功率10 0 %。术后死亡 1例 ,其余无心、肺、肾及截瘫等严重并发症。说明腔内隔绝术治疗StanfordB型主动脉夹层动脉瘤安全、有效 。This paper is to summarize our experiences in the operation indication and management of perioperative complications in treatment of Stanford B aortic dissection by using endovascular graft exclusion (EVGE). 32 patients underwent the procedure of EVGE . Various sizes of tubular grafts were introduced over the entry tear of aorta via the femoral artery. The procedure was technically successful in all patients. No Severe complication occurred during the perioperative period except one death due to heart infarction. These preliminary results suggest that EVGE is safe and efficient for Stanford B aortic dissection. EVGE is a method of first choice for the patients with this disease.

关 键 词：腔内隔绝术 支架术 主动脉夹层动脉瘤 StafordB型 适应证 

分 类 号：R543.16[医药卫生—心血管疾病]