主动脉弓部夹层腔内修复术后内漏的预防与治疗  

Prevention and treatment of endoleak after endovascular repair of aortic arch dissection

作　　者：王瑞华 应小亮 陆信武[1] Wang Ruihua;Ying Xiaoliang;Lu Xinwu(Department of Vascular Surgery,Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai Jiao Tong University Vascular Disease Diagnosis and Treatment Center,Shanghai 200011)

机构地区：[1]上海交通大学医学院附属第九人民医院血管外科,上海交通大学血管病诊治中心,上海200011

出　　处：《中华血管外科杂志》2025年第1期6-9,共4页Chinese Journal of Vascular Surgery

基　　金：上海市科技创新行动计划(20Y11909600);国家自然科学基金(82170411);九院临+(JYLJ202010);安徽省卫生健康科研项目(AHWJ2022a031);滁州市科技局项目(2023ZD033)。

摘　　要：随着腔内技术的发展,胸主动脉腔内修复术已成为累及主动脉弓部夹层的重要治疗手段。在进行腔内修复时,需同时重建弓上血管,以提高患者的预后。然而,弓部的形态学特点及多个分支重建可导致内漏发生率增加,成为影响治疗效果的重要因素。本文将介绍累及弓部主动脉夹层的弓上血管重建方法,并结合本中心经验,探讨术后内漏发生的机制及临床处理策略。With the development of endovascular techniques,thoracic endovascular aortic repair(TEVAR)has become an important treatment for aortic arch dissection.During endovascular repair,reconstruction of the supra-aortic vessels is needed to improve patient prognosis.However,the morphological characteristics of the arch and the reconstruction of multiple branches can increase the incidence of endoleak,which is a significant factor affecting the treatment outcome.This paper introduces the methods for reconstructing supra-aortic vessels in aortic arch dissection and discusses the mechanisms of postoperative endoleak and clinical management strategies based on our center's clinical experience.

关 键 词：主动脉弓 夹层 腔内修复 内漏 

分 类 号：R54[医药卫生—心血管疾病]