主动脉创伤腔内修复术后的影像学随访

目的 分析主动脉腔内修复术救治的主动脉创伤伤员的影像学随访资料,探讨预防主动脉腔内修复术后出现并发症的措施.方法 回顾性分析2006年1月-2014年9月因主动脉创伤在广州军区武汉总医院心胸外科行主动脉腔内修复术的伤员影像学随访资料,要求术后至少有2次CTA检查,且最后一次检查需离手术至少3个月.结果 检索出符合条件的病例23例,CTA显示主动脉内血管支架无移位、严重内漏,伤员无严重并发症的临床症状.11例伤员出现主动脉血管内支架在病变部位凸出,其中3例明显致使邻近食管管腔狭窄.结论 主动脉腔内修复术是主动脉创伤的一种快速、有效的救治方式,术后的一些特殊类型的并发症应在手术前进行评估.

Radiographic follow-up study for endovascular aortic repair treating aortic trauma

Objective This study aims to analyze the radiographic follow-up data with endovascular aortic repair (EVAR) treating aortic trauma,and discuss the measures to prevent complications after EVAR.Methods Clinical data of the cases with aortic trauma treated by EVAR was retrospective analyzed at department of Thoracic Cardiovascular Surgery,Wuhan General Hospital of Guangzhou Command,from January 2006 to September 2014.Radiographic follow-up data required at least 2 times with CTA reexamination,and finally time should be at least 3 months after the surgery.Results A total of 23 patients meet retrieval requirements.CTA showed stent grafts were released successfully and placed well,had normal morphology for the proximal aortic,with no obvious internal leakages or stent grafts undisplaced.No case with clinical symptoms of the injured or serious complications.The stent-grafts were over-spread into the aneurysm cavity and protruded a sharp angle in the aneurysm cavity in 11 cases,and 3 cases caused adjacent esophagus lumen stenosis.Conclusions EVAR was a minimally invasive,fast and effective treatment method for treating aortic trauma.Some special types of postoperative complications should be assessed prior to surgery.