Stanford B型夹层覆膜支架血管腔内修复术后围术期死亡原因分析  

Analysis of peri-operative cause of death about type B aortic dissection after thoracic endovascular aortic repair

作　　者：史帅涛[1] 翟水亭[1] 李天晓[1] 王国权[1] 张志东[1] 梁凯[1] 符晓阳[1] 张克伟[1] 李坤[1] 逯党辉 

机构地区：[1]河南省人民医院(郑州大学附属人民医院)介入与血管外科,450003

出　　处：《中华介入放射学电子杂志》2014年第4期5-8,共4页Chinese Journal of Interventional Radiology：electronic edition

摘　　要：目的分析Stanford B型主动脉夹层覆膜支架血管腔内修复术(TEVAR)后围术期患者死亡情况及可能的死亡原因。方法 2004年2月—2012年9月,254例症状性Stanford B型主动脉夹层患者在本中心接受覆膜支架血管腔内修复术(TEVAR)治疗,其中,男性214例,女性40例,平均(51.5±12.5)岁。统计TEVAR术后围术期患者死亡情况,并分析可能的死亡原因。结果 TEVAR术后围术期患者死亡7例(7/254,2.76﹪),其中男性5例,女性2例。可能的死亡原因中,破裂所致死亡3例(3/254,1.18﹪),肠道缺血死亡2例(2/254,0.79﹪),呼吸功能衰竭死亡1例(1/254,0.39﹪),心源性猝死1例(1/254,0.39﹪)。结论 TEVAR术治疗症状性Stanford B型主动脉夹层安全、有效,但TEVAR术后围术期患者死亡情况仍需重视,在引起死亡的各种原因中,破裂和肠道缺血引起的死亡尤其值得关注。Objective To analyze possible peri-operative death reason for type B aortic dissection patients after thoracic endovascular aortic repair（TEVAR）. Methods From Feb of 2004 to Sep of 2012, 254 patients complicated type B aortic dissection accepted TEVAR. A total of 214 male and 40 female patients were included. Average age was 51.5±12.5 years old. The peri-operative death reason for post-TEVAR were analyzed. Results A total of 7 patients died after TEVAR during peri-operative, including 5 male and 2 female patients. Possible reason of death included rupture（3/254, 1.18﹪）, intestinal ischemia（2/254, 0.79﹪）, respiratory failure（1/254, 0.39﹪） and heart failure（1/254, 0.39﹪）. Conclusions TEVAR is safe and efficient on treatment of complicated type B aortic dissection. But rupture and intestinal ischemia should be paid more attention.

关 键 词：STANFORD B型夹层 覆膜支架血管腔内修复术(TEVAR) 围术期死亡率 

分 类 号：R654.3[医药卫生—外科学]