矫正性裸支架理念在治疗复杂主动脉疾病中的应用  

Application of corrective stent technique in endovascular aortic repair of complicated aortic lesion

作　　者：查斌山[1] 朱化刚[1] 谢文涛[1] 陈智勇[1] 刘斌[1] 叶雨生[1] 余康敏[1] 

机构地区：[1]安徽医科大学第一附属医院血管外科,安徽合肥230022

出　　处：《中国介入影像与治疗学》2015年第2期65-69,共5页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨矫正性裸支架理念在复杂主动脉病变中应用价值。方法回顾分析接受腔内修复术联合矫正性裸支架治疗的13例复杂主动脉夹层及2例肾下腹主动脉瘤患者的资料。结果 13例主动脉夹层患者中,植入Valiant支架11例,Grikin支架2例;2例腹主动脉瘤患者均植入Zenith支架。对15例患者共植入矫正性裸支架19枚;主动脉夹层裸支架17枚,长度60~80mm,直径18~24mm;腹主动脉瘤裸支架2枚,长度均为60mm,直径分别为24mm和7mm。所有患者术后无严重并发症。15例中,14例完成随访,1例失访,随访期间无支架源性夹层或内漏发生及假性动脉瘤、髂支血栓形成。结论矫正性裸支架理念有助于拓宽主动脉病变腔内治疗的适应证,且安全、微创、近期疗效满意。Objective To evaluate the application value of corrective stent technique in endovascular aortic repair of complicated aortic lesion. Methods Data of 13 patients with complex aortic dissection and 2 patients with infrarenal abdominal aortic aneurysm were retrospectively analyzed.All the cases underwent treatments of corrective stent and thoracic endovascular aortic repair（TEVAR）or endovascular aneurysm repair（EVAR）.Results Among 13 cases of complex aortic dissection,Valiant and Grikin stents were implanted in 11 and 2 cases respectively.Zenith stents were implanted in 2infrarenal abdominal aortic aneurysm cases.Totally 19 corrective stents were implanted in 15 cases.There were 17 aortic dissection stents with the length of 60—80mm and diameter of 18—24mm and 2 abdominal aortic aneurysm stents with the length of 60 mm and diameter of 24 and 7mm.No severe complications occurred.There were 14 cases completed follow-up and 1 case lost follow-up.No stent relating dissection,endoleak or false aneurysm occurred during follow-up.ConclusionCorrective stent technique is helpful to expand the applicability of TEVAR and EVAR for patients with challenging anatomy.It is a feasible,safe and microinvasive method in the treatment of aortic lesions.

关 键 词：动脉瘤 夹层 支架 腔内修复术 

分 类 号：R543.1[医药卫生—心血管疾病] R815[医药卫生—内科学]