TEVAR治疗Stanford B型主动脉夹层96例临床分析
|
摘要
目的探讨Stanford B型主动脉夹层患者通过腔内修复术(thoracic endovascular aortic repair,TEVAR)进行治疗,对其取得的治疗安全性及有效性进行评价。方法回顾性分析2007年6月—2018年6月在该科行腔内修复术治疗的Stanford B型主动脉夹层(type B aortic dissections,TBAD)96例患者的临床资料及随访资料,术前采用CTA对主动脉夹层进行评估,术中在DSA引导下采用覆膜血管支架封堵夹层破口,术后随访CTA,观察临床治疗效果及并发症发生情况。结果该组96例患者中93例手术成功。93例患者中,出现死亡的患者有6例,其中10例患者再发主动脉夹层(其中5例死亡),2例患者发生术后出现消化道出血;患者在术后发生内漏情况有8例(1例死于主动脉食管漏)。结论腔内修复术治疗Stanford B型主动脉夹层创伤小、恢复快、并发症少、近期及远期疗效稳定。
Objective To investigate the safety and efficacy of Stanford type B aortic dissection in patients undergoing endovascular endovascular aortic repair(TEVAR). Methods The clinical data and follow-up data of 96 patients with type B aortic dissections(TBAD) treated with undergraduate endovascular repair from June 2007 to June 2018 were retrospectively analyzed. CTA was used before surgery. The aortic dissection was evaluated. The vascular stent was used to seal the dissection under the guidance of DSA. The CTA was followed up to observe the clinical treatment effect and complications. Results Of the 96 patients in this group, 93 were successfully operated. Of the 93 patients, 6 patients died, 10 had aortic dissection(5 of them died), 2 had gastrointestinal bleeding after surgery, and 8 had endoleaks after surgery(1 case died of aortic esophageal leakage). Conclusion Endovascular repair for Stanford type B aortic dissection has less trauma, quick recovery, less complications, and stable short-term and long-term results.
Objective To investigate the safety and efficacy of Stanford type B aortic dissection in patients undergoing endovascular endovascular aortic repair(TEVAR). Methods The clinical data and follow-up data of 96 patients with type B aortic dissections(TBAD) treated with undergraduate endovascular repair from June 2007 to June 2018 were retrospectively analyzed. CTA was used before surgery. The aortic dissection was evaluated. The vascular stent was used to seal the dissection under the guidance of DSA. The CTA was followed up to observe the clinical treatment effect and complications. Results Of the 96 patients in this group, 93 were successfully operated. Of the 93 patients, 6 patients died, 10 had aortic dissection(5 of them died), 2 had gastrointestinal bleeding after surgery, and 8 had endoleaks after surgery(1 case died of aortic esophageal leakage). Conclusion Endovascular repair for Stanford type B aortic dissection has less trauma, quick recovery, less complications, and stable short-term and long-term results.
引文
[1]陈小宇,陶银煜.腔内修复术治疗复杂性StanfordB型主动脉夹层25例效果分析[J].常州实用医学,2015(6):364-366.
[2]许果,黄连军,黄小勇,等.Stanford B型主动脉夹层近端锚定区不足腔内治疗分析[J].介入放射学杂志,2016,25(10):849-852.
[3]杜军军,陈泉.LSA重建术结合TEVAR对5例Stanford B型主动脉夹层的治疗[J].血管与腔内血管外科杂志,2016,2(5):374-377.
[4]范海伦,汤凯丰,胡凡果,等.体外开窗TEVAR技术治疗不良近端锚定区Stanford B型主动脉夹层的近期疗效分析[J].血管与腔内血管外科杂志,2016,2(5):415-419.
[5]侯钦茂,冯家烜,张荣杰,等.Stanford B型主动脉夹层腔内介入治疗时机对预后的影响[J].介入放射学杂志,2018,27(4):310-313.
[6]荆磊,芮兴无,田金花,等.Stanford B型主动脉夹层急性期行TEVAR的安全性分析[J].血管与腔内血管外科杂志,2017,3(4):838-840.
[7]陈丽,王雅,王效增,等.Stanford B型主动脉夹层腔内修复术后覆膜支架远端再发夹层临床诊治分析[J].中国实用内科杂志,2017,37(1):59-62.
[8]王喜明,张艳霞,余海彬,等.85例StanfordB型主动脉夹层腔内修复治疗体会[J].介入放射学杂志,2017,26(7):651-654.
[9]李林,薛智军,李强.Stanford B型主动脉夹层腔内修复术42例临床分析[J].中国现代药物应用,2015(23):50-51.
[2]许果,黄连军,黄小勇,等.Stanford B型主动脉夹层近端锚定区不足腔内治疗分析[J].介入放射学杂志,2016,25(10):849-852.
[3]杜军军,陈泉.LSA重建术结合TEVAR对5例Stanford B型主动脉夹层的治疗[J].血管与腔内血管外科杂志,2016,2(5):374-377.
[4]范海伦,汤凯丰,胡凡果,等.体外开窗TEVAR技术治疗不良近端锚定区Stanford B型主动脉夹层的近期疗效分析[J].血管与腔内血管外科杂志,2016,2(5):415-419.
[5]侯钦茂,冯家烜,张荣杰,等.Stanford B型主动脉夹层腔内介入治疗时机对预后的影响[J].介入放射学杂志,2018,27(4):310-313.
[6]荆磊,芮兴无,田金花,等.Stanford B型主动脉夹层急性期行TEVAR的安全性分析[J].血管与腔内血管外科杂志,2017,3(4):838-840.
[7]陈丽,王雅,王效增,等.Stanford B型主动脉夹层腔内修复术后覆膜支架远端再发夹层临床诊治分析[J].中国实用内科杂志,2017,37(1):59-62.
[8]王喜明,张艳霞,余海彬,等.85例StanfordB型主动脉夹层腔内修复治疗体会[J].介入放射学杂志,2017,26(7):651-654.
[9]李林,薛智军,李强.Stanford B型主动脉夹层腔内修复术42例临床分析[J].中国现代药物应用,2015(23):50-51.