The best option for complicated type B dissection with arch involved  

作　　者：Chang Shu Tun Wang Ming-Yao Luo Kun Fang Quan-Ming Li Ming Li Xin Li Hao He 

机构地区：[1]Departm ent of Vascular Surgery,The 2nd Xiang-ya Hospital,Central South University,Changsha,Hunan 410011,China [2]Angiopathy Institute,Central South University,Changsha,Hunan 410011,China [3]Department of Cardiovascular Surgery,Chinese Academy of Medical Sciences and Peking Union Medical College Fuwai Hospital,Beijing 100013,China.

出　　处：《Chinese Medical Journal》2021年第8期883-885,共3页中华医学杂志（英文版）

摘　　要：Thoracic endovascular aortic repair(TEVAR)is the first choice of type B aortic dissection(T B A D).U However,when the dissection involves an aortic arch with close proximity to the supra-aortic branches,the situation becomes complicated and challenging for classical TEVAR.In recent years,the Hybrid-ENDO vascular-Open arch repair(HENDO)theory that consists of some treatment strategies specifically for aortic arch lesions,becomes popular.Based on the HENDO theory,the modified endovascular technique,simultaneously aiming at the reconstruction of the involved supra-aortic branches and coverage of TBAD,is the first choice with promising future development.According to the specific anatomic situation and the pathology of the disease,hybrid or open surgery can be performed selectively.

关 键 词：DISSECTION ARCH COMPLICATED 

分 类 号：R655[医药卫生—外科学]