支架自显影体外定位体外开窗技术治疗近端锚定区不足的主动脉弓部疾病  

Self-radiopaque marker guiding physician modified fenestration technique for the treatment of aortic arch diseases with insufficient proximal anchoring area

作　　者：罗成林 王庆[1] 谭杰 兰斌 LUO Chenglin;WANG Qing;TAN Jie;LAN Bin(Department of Interventional Vascular Surgery,Hunan Provincial People′s Hospital,Hunan Province 410005,China)

机构地区：[1]湖南省人民医院介入血管外科,湖南长沙410005

出　　处：《介入放射学杂志》2024年第10期1111-1115,共5页Journal of Interventional Radiology

基　　金：湖南省科技重大专项项目(H2021-30);湖南省自然科学基金(2024JJ5227)。

摘　　要：目的探讨支架自显影体外定位体外开窗技术治疗近端锚定区不足的主动脉弓部病变的应用价值。方法2021年10月至2023年3月湖南省人民医院共收治8例近端锚定区位于Z0区的主动脉夹层/动脉瘤患者,均接受支架自显影体外定位体外开窗技术进行腔内修复治疗,随访观察该技术的安全性及有效性。结果8例患者手术均获成功,1例出现Ⅰ型内漏,6个月内漏消失。未发生围手术期死亡、脑卒中或截瘫等并发症。结论采用支架自显影体外定位体外开窗技术治疗近端锚定区不足的主动脉弓部疾病,中短期效果满意,但远期效果仍需观察。Objective To discuss the clinical application of self-radiopaque marker guiding physician modified fenestration technique in treating aortic arch diseases with insufficient proximal anchoring area.Methods From October 2021 to March 2023,a total of 8 patients with aortic dissection/aneurysm located in area Z0 received thoracic endovascular aortic repair(TEVAR)by using self-radiopaque marker guiding physician modified fenestration technique.The patients were followed up to observe the safety and efficacy of this technique.Results Successful TEVAR was accomplished in all the 8 patients.TypeⅠendoleak occurred in one patient,which disappeared within 6 months.No perioperative death,stroke or paraplegia occurred.Conclusion For the treatment of aortic arch diseases with insufficient proximal anchoring area,TEVAR by using self-radiopaque marker guiding physician modified fenestration technique is clinically safe and effective with satisfactory short-to-medium-term effect,although its long-term effect needs further observation.

关 键 词：主动脉弓 自显影 覆膜支架 腔内治疗 

分 类 号：R655[医药卫生—外科学]