主动脉覆膜血管内支架治疗DebakeyⅢ型主动脉夹层的临床疗效  

Endovascular stent-graft placement for the treatment of Debakey Ⅲ type aortic dissections for the clinical curative effect

作　　者：胡楝[1] 曹勇[1] 刘超[1] 余观水[1] 邓元子[1] 程华森[1] 

机构地区：[1]高州市人民医院心血管外科,广东省高州市525200

出　　处：《中国心血管病研究》2015年第1期79-81,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的 总结主动脉覆膜血管内支架治疗DebakeyⅢ型主动脉夹层的临床疗效.方法 选取本院2009年8月至2014年7月经CT增强扫描确诊为DebakeyⅢ型主动脉夹层的患者63例,从股动脉植入主动脉覆膜血管内支架,封堵破口.植入后重复进行血管造影检查.结果 血管内支架植入全部成功.术后造影60例无内漏,3例轻度内漏,1例出现左上肢缺血.随访CT检查1～3年,未出现脊髓损伤、支架移位等并发症,大部分胸背痛等症状消失.结论 主动脉覆膜血管内支架是治疗胸主动脉瘤的有效方法,近期疗效满意.Objective To evaluate the efficacy of endovascular stent-graft placement for the treatment of Debakey Ⅲ type aortic dissection for the clinical curative effect. Methods From August 2009 to July 2014, 63 patients with Debakey Ⅲ type aortic dissection were diagnosed by contrast-enhanced CT scan. From the femoral artery into the effect of endovascular stent-graft and was deployed into the true lumen to occlude the primary entry tear. Repeat angiography after placement. Results Stent-graft deployment was successfully performed in all the patients. Immediate aortography after the procedure showed no leakage in 60 patients and minor leakage in 3. 1 patients was left ann ischemia. Follow-up CT examination 1-3 years, no patient showed paraplegia. No stent movement or organ isehemia was found. Most of the symptoms such as chest pain disappeared. Conclusion Endovascular stent-graft placement is effective for the treatment of Debakey Ⅲ type aortic dissection. The recent curative effect is satisfaction.

关 键 词：主动脉夹层 主动脉覆膜血管内支架 介入治疗 

分 类 号：R654.2[医药卫生—外科学]