胸主动脉夹层动脉瘤腔内隔绝术后内漏的评估  

ENDOLEAKS AFTER ENDOVASCULAR GRAFT EXCLUSION FOR THORACIC AORTIC DISSECTION

作　　者：赵珺[1] 景在平[1] 赵志青[1] 包俊敏[1] 冯翔[1] 冯睿[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641-643,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：32例StanfordB型胸主动脉夹层动脉瘤患者接受了腔内隔绝术 ,术中发现内漏 4例 ,即时腔内方式治愈 3例 ,自愈 1例 ;术后迟发型内漏 1例。内漏的发生与多种因素有关 ,术中DSA及术后螺旋CT是发现内漏的有效方法 ;发生内漏后主张尽快以腔内方式治疗 ;小量内漏可自愈 ;Thirty two patients with Stanford B thoracic aortic dissections accepted endovascular graft exclusions. Four endoleaks occurred after the stent grafts were deployed. Three were cured with additional endovascular stent graft placement, while one sealed spontaneously. It is concluded that many factors are related to the occurrence of endoleaks. The detecting methods of intraoperative DSA and postoperative spiral CT of the thoracic aorta are effective on revealing endoleaks. It is advocated that additional endovascular procedures should be done immediately after the endoleaks are detected. Low volume of the leakage may seal spontaneously. But the topic of the mamagement and prognosis of delayed endoleaks is to be studied.

关 键 词：腔内隔绝术 手术后 内漏 胸主动脉夹层动脉瘤 

分 类 号：R543.16[医药卫生—心血管疾病]