Stanford B型主动脉夹层胸主动脉腔内修复术后Ⅰ型内漏的治疗

贡鸣; 黄小勇; 王晓龙; 刘愚勇; 郑铁; 关欣亮; 刘欧; 黄连军; 孙立忠; 张宏家

doi:10.13201/j.issn.1001-1439.2014.06.015

Stanford B型主动脉夹层胸主动脉腔内修复术后Ⅰ型内漏的治疗

- 首都医科大学附属北京安贞医院北京市心肺血管疾病研究所心脏外科中心北京大血管疾病诊疗中心北京市大血管外科植入式人工材料工程技术研究中心(北京, 100029)

详细信息

通讯作者: 张宏家,E-mail:zhanghongjia722@hotmail.com

中图分类号: R543.1

收稿日期: 2014-04-06

Treatment for typeⅠendoleak after TEVAR for Stanford B aortic dissection

- Beijing Aortic Disease Center, Cardiovascular Surgery Center, Capital Medical University Affiliated Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Disease, Beijing, 100029, China

More Information

Corresponding author: ZHANG Hongjia, E-mail: zhanghongjia722@hotmail.com

Received Date: 06 April 2014

摘要

摘要: 目的:比较Stanford B型主动脉夹层胸主动脉腔内修复术 (TEVAR) 后Ⅰ型内漏应用支架象鼻术及再次TEVAR术治疗的临床效果。方法:回顾首都医科大学附属北京安贞医院2009-03-2013-01收治的Stanford B型主动脉夹层TEVAR术后Ⅰ型内漏患者的临床资料。根据手术方式不同, 将20例患者分为2组:支架象鼻术组12例和再次TEVAR术组8例, 术后平均随访 (6.53±7.60) 个月。结果:2组患者除性别外 (P=0.049), 其他基线资料无统计学差异;支架象鼻术组患者手术时间明显长于再次TEVAR术组 (P=0.007), 而术后残余内漏发生率明显低于再次TEVAR术组 (P=0.014);2组患者随访期间死亡率无明显统计学差异 (P=1.000)。结论:Stanford B型主动脉夹层胸主动脉TEVAR术后Ⅰ型内漏应用支架象鼻术较再次TEVAR术具备更好的内漏封闭效果, 但远期效果仍需进一步观察。
- 主动脉夹层 /
- 内漏支架象鼻术 /
- 再次TEVAR术
Abstract: Objective: To compare the results of treatment for type I endoleak after thoracic endovascular aorticrepair (TEVAR) for Stanford B aortic dissections with stented elephant trunkand re-TEVAR.Method: From 2009 March to 2013 January, 20 patients with type I endoleak after TEVAR were evaluated in Beijing Anzhen Hospital.Accordingto different operations, 20 patients were divided into two groups:12 patients treated with stented elephant trunk and 8patients treated with re-TEVAR.The mean time of follow-up was (6.53±7.60) months.Result: There were no significant differences in baseline characteristics between 2groups except for gender (P=0.049).Although the operation time was longer in stented elephant trunk group (P=0.007), the incidence of recurrent endoleaks was lower in stented elephant trunk group (P=0.014).There were no significant differences in follow-up mortality between 2 groups (P=1.000).Conclusion: Stented elephant trunk is more effective technology than re-TEVAR in treatment of type I endoleak after TEVAR for Stanford type B thoracic aortic dissections.However, the results of long term follow-up remain to be studied.
- aortic dissection /
- stented elephant trunk /
- re-TEVAR

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