| 血管旁路移植后腔内隔绝术治疗Ⅲ型复杂型主动脉夹层 |
| 投稿时间：2011-04-01 修订日期：2011-05-09 点此下载全文 |
| 引用本文：吴智勇,夏军,王志维,区家乐,徐鹏,李罗成.血管旁路移植后腔内隔绝术治疗Ⅲ型复杂型主动脉夹层[J].医学研究杂志,2012,41(2):153-155 |
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| 中文摘要:目的总结联合腔内隔绝术、联合血管旁路移植术治疗Ⅲ型复杂型主动脉夹层的临床经验。方法2010年12月腔内隔绝术联合血管旁路移植术2例。全组均为男性。年龄51～70岁,平均年龄60.5岁。术前CTA发现1例破口距左锁骨下动脉开口处<15mm，另1例破口在左锁骨下动脉根部。夹层均不同程度逆向剥离延及主动脉弓。手术分期进行先行颈部动脉重建，12h内再行腔内隔绝手术。结果术后患者恢复良好,2周出院。出院前CTA无内漏发生和支架移位。随访2例，随访时间1个月，无特殊不适。结论腔内隔绝术联合血管旁路移植术治疗Ⅲ型复杂型主动脉夹层是一种创伤小、恢复快、疗效好的治疗方法。 |
| 中文关键词:腔内修复 人造血管旁路 主动脉夹层 杂交技术 |
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| Technique of Endovascular Repairing after Prosthesis Bypass in the Treatment of Complex DeBakey Ⅲ Aortic Dissection |
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| Abstract:ObjectiveTo summarize the clinical experience of endovascular repairing combined with the prosthesis by-pass in the treatment of complex DeBakey Ⅲ aortic dissection. MethodsIn December 2010, 2 male patients with complex DeBakey Ⅲ aortic dissection received endovascular repairing combined with the prosthesis by-pass. The patients were from 51 to 70 years old, averaged 60.5 years. Preoperative CTA found that the distances between breach and left subclavian artery openings were all less than 15mm, one of which tears in the left subclavian artery root.Aortic dissection was reversely stripping extended to aortic arch on different degree. On this way, neck arteries were reconstructed,and then endovascular repairing was completed in 12 hours. ResultsAll patients successfully recovered from surgery procedure and were discharged from hospital in two weeks. Before discharge CTA indicated smooth blood-stream in prosthesis, no inner-leat and no endo-stent dislocation. Two cases followed-up for two months complainted no discomfort. Conclusion Endovascular repairing combined with prosthesis by-pass was a safe and effective method for complex DeBakey Ⅲ aortic dissection with the entry tear close to the left subclavian artery openings. |
| keywords:Endovascular repair Prosthesis bypass Aortic dissection Hybrid technique |
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