Stanford B型主动脉夹层腔内治疗的观察研究

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	英文篇名：Observation the effect of endovascular treatment in Stanford B aortic dissection 作者：陈琳 ; 马波民 英文作者：CHEN Lin;MA Bomin;Heze Municipal Hospital; 关键词：主动脉夹层 ; 血管腔内治疗 ; 支架 英文关键词：Aortic dissection;;Endovascular therapy;;Stent-graft 中文刊名：WCYX 英文刊名：Journal of Minimally Invasive Medicine 机构：山东省菏泽市立医院; 出版日期：2017-02-25 出版单位：微创医学 年：2017 期：v.12 语种：中文; 页：WCYX201701014 页数：4 CN：01 ISSN：45-1341/R 分类号：48-51

摘要

目的探讨Stanford B型主动脉夹层腔内治疗的效果。方法 25例B型主动脉夹层患者,全麻后穿刺左侧肱动脉,经左侧肱动脉置入标记导管至升主动脉,经右侧腹股沟处切开分离出右侧股动脉,穿刺右侧股动脉置入导管证实在真腔内,顺导管置入超硬导丝至升主动脉。全身肝素化后控制血压,其中急诊手术治疗4例,其余患者急性期过后限期手术。结果 25例患者共置入主动脉支架25枚,普通血管支架6枚,其中6例行左侧锁骨下动脉烟囱支架置入,5例行左侧椎动脉-人工血管-左侧颈总动脉搭桥术,5例支架置入后明显内漏者行球囊扩张,5例术后出现并发症,无死亡病例。结论腔内治疗是Stanford B型主动脉夹层相对安全有效的治疗办法。
        Objective To assess the efficacy of endovascular treatment in Stanford B aortic dissection.Methods 25 cases with type B aortic dissection were chose. After general anesthesia,the left brachial artery was punctured,then the mark catheter was inserted to the ascending aorta via the left brachial artery. The right femoral artery was separated through the right groin incision. Mark catheter was placed artery through puncture of right femoral artery catheter and confirmed in true lumen. A super-hard guidewire was placed to the ascending aorta through mark catheter. Blood pressure was controlled after the whole body heparinization.Among the 25 cases,there were 4 cases who were gave emergency surgical operation. The others were gave limited operation after the acute phase. Results 25 aorta stents and 6 common vessel stents were implanted in 25 patients. Among them,6 cases received left subclavian artery chimney stent implantation,5 cases were given left vertebral artery-artificial blood vessel-left common carotid artery bypass grafting. 5 patients occurred leakage after stent implantation,then were given balloon dilatation. Postoperative complications were found in5 cases. There was no death. Conclusion Endovascular treatment is an effective and relative safety method for the treatment of type B aortic dissection.

引文

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