标题:15例DeBakeyⅢ型主动脉夹层腔内修复术治疗体会
作者:朱进国,姚 震,郭禹标,马丽辉
(三亚市人民医院心胸外科,海南 三亚 572000)
卷次:
2012年23卷7期
【摘要】 目的 总结DeBakeyⅢ型主动脉夹层腔内修复术(EVAR)的治疗经验,探讨该方法的适应证及疗
效。方法 采用COOK带膜支架施行EVAR治疗15例DeBakeyⅢ型主动脉夹层患者。结果 15例患者共置入
15枚带膜支架。其中1例因右侧下肢血供欠佳,术中同期行人工血管股股转流术。围术期无死亡。术后随访1~
14个月,患者均存活,复查螺旋CT示假腔径缩小并见腔内血栓形成,真腔径增大,无瘤体破裂、内漏及支架移位
等并发症发生。结论 EVAR治疗DeBakeyⅢ型主动脉夹层具有技术可靠、创伤小、术后恢复快、成功率高等优
点,尤其适用于不能耐受传统开胸手术的老年高危患者。
【关键词】 主动脉;DeBakey Ⅲ夹层;腔内修复术
【中图分类号】 R543.1 【文献标识码】 A 【文章编号】 1003—6350(2012)07—034—02<
br>Experience on endovascular repair of DeBakey Ⅲ aortic dissection: a report of 15 cases.
ZHU Jin-guo 1, YAO
Zhen 2, GUO Yu-biao 2, MA li-hui 2. Department of Cardiothoracic Vascular Surgery, People's Hospital of Sanya City,
Sanya 572000, Hainan, CHINA
【Abstract】 Objective To investigate the clinical experience of endovascular repair for patients with
DeBakey Ⅲ aortic dissection. Methods From January 2010 to May 2011, endovascular COOK stent-graft ex-
clusion was performed in 15 patients with DeBakey Ⅲ aortic dissection, with the mean age of (56.4 ± 10.6)
years. Results Fifteen stent-grafts were installed in the 15 patients successfully, without operation related death.
During the follow-up of 1~14 months, all the patients were alive and well. CT examination during the follow-up
showed reduced lumen size and thrombosis in the false lumen. There was no aortic rupture, endoleak and stent migra-
tion during the follow-up. Conclusion Endovasular repair is a safe and effective treatment for patients with De-
BakeyⅢ aortic dissection, especially suitable for old patients with high risk of surgery.
【Key words】 Aorta; DeBakeyⅢ dissection; Endovascular repair
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