Castor支架在主动脉病变中的临床应用及疗效分析  

Clinical application and efficacy analysis of castor stent graft in the treatment of aortic diseases

作　　者：庄家祥 王韧[1,2] 马宪鲁[1] 谢琦 窦志[1] 郑富臻[1] 陈海宇[1] 陈远翔[1] 严李程 周宏杰 Zhuang Jiaxiang;Wang Ren;Ma Xianlu;Xie Qi;Dou Zhi;Zheng Fuzhen;Chen Haiyu;Chen Yuanxiang;Yan Licheng;Zhou Hongjie(Provincial Clinical College of Fujian Medical University,Department of Cardiovascular Surgery,Fujian Provincial Hospital,Fuzhou 350001,China;Department of Cardiovascular Surgery,Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)

机构地区：[1]福建医科大学省立临床医学院、福建省立医院心血管外科,福州350001 [2]上海交通大学附属仁济医院心血管外科,上海200127

出　　处：《中华胸心血管外科杂志》2024年第2期79-84,共6页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：福建省自然科学基金重点项目(2020J02057)。

摘　　要：目的总结Castor支架在主动脉病变中的临床应用并进行疗效分析。方法收集福建省立医院2017年11月至2022年8月应用Castor支架治疗的主动脉病变患者的临床资料,根据手术方式分为分支支架组、分支支架联合手术组,对两组的临床资料进行归纳总结。结果主动脉病变患者应用Castor支架治疗75例,最终53例归入分支支架组,22例为分支支架联合手术组。两组手术全部成功。分支支架组中位手术时间120(100,160)min,中位术后住院7.0(5.5,10.5)天。术后患者无缺血性卒中、无脊髓缺血,1例新发夹层。随访期间,失访1例,死亡2例,其余未出现支架内漏、分支支架狭窄、缺血性卒中及再次干预。在分支支架联合手术组中,术后出现缺血性卒中1例,随访过程中出现左锁骨下动脉轻度狭窄1例,余病例术后效果满意。结论Castor支架在主动脉疾病治疗中是安全、有效的手术方式,可同时联用血管腔内修复技术治疗复杂主动脉病变,安全、可靠,疗效良好。Objective To summarize the use of Castor stent graft in aortic diseases and to analyze their efficacy.Methods The clinical data of patients with aortic diseases treated with Castor stent graft from November 2017 to August 2022 in Fujian Provincial Hospital were collected and divided into branched stent group and branched stent co-operative group according to the operation method,and the clinical data of both groups were summarized.Results A total of 75 cases of aortic disease were treated with Castor stents,and finally 53 cases were classified as branched stent group and 22 cases as branched stent co-operative group.The operations in both groups were successful.The median operative time in the branched stent group was 120(100,160)min,and the median postoperative hospital stay was 7.0(5.5,10.5)days.There was no postoperative ischemic stroke,no spinal cord ischemia.One case of new aortic dissection occurred.During follow-up,there was one lost case and two deaths,and the rest did not have endoleak,branch stent stenosis,ischemic stroke or re-intervention.In the branched stent co-operative group,there was one postoperative ischemic stroke,one case of slight stenosis of the left subclavian artery stent during follow-up,the remaining cases had satisfactory postoperative outcomes.Conclusion Castor stent graft is a safe and effective procedure in the treatment of aortic diseases.And Castor stent graft can be used in combination with other endovascular repair techniques in the treatment of complex aortic diseases,with safe and reliable postoperative outcomes.

关 键 词：主动脉疾病 Castor支架 临床应用 疗效分析 

分 类 号：R654.3[医药卫生—外科学]