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| DSA下腔内隔绝术治疗Stanford B型主动脉夹层的临床应用 | |
| 引用本文： | 宋锦文,李彦豪,陈勇,卢伟,曾庆乐,赵剑波,梅雀林. DSA下腔内隔绝术治疗Stanford B型主动脉夹层的临床应用[J]. 南方医科大学学报, 2008, 28(2): 293-295 |
| 作者姓名： | 宋锦文 李彦豪 陈勇 卢伟 曾庆乐 赵剑波 梅雀林 |
| 作者单位： | 南方医科大学南方医院介入科,广东,广州,510515 |
| 摘 要： | 目的 评价DSA下经皮带膜支架腔内隔绝术(EVGE)治疗StanfordB型主动脉夹层(AD)的价值及临床意义.方法 在多排CT诊断的基础上.20例Stanford B型AD经DSA进一步明确并行EVGE治疗,总结其DSA表现及EVGE治疗疗效.结果 20例Stanford B型中,单纯行EVGE治疗共植入支架22枚,支架释放成功率100%.造影复查15例无明显渗漏和假腔显影;5例少许渗漏,以适应性球囊逐段贴覆后渗漏消失.术后第6天死亡1例(右肾出血伴感染).CT复查19例无明显支架移位或渗漏,回访3月生存质量良好.结论 DSA可进一步明确AD解剖细节并行术中实时监测,为治疗方案的选择提供可靠依据.EVGE治疗Stanford B型AD具有创伤小、成功率高和并发症少等优点,是目前治疗该病的有效方法. |
| 关 键 词： | 血管造影术 数字减影 腔内隔绝术 Stanford B型 主动脉夹层 腔内隔绝 术治疗 主动脉夹层 临床应用 dissection aortic type treatment angiography digital 并发症 创伤小 的选择 治疗方案 实时监测 解剖 生存质量 回访 移位 感染 |
| 文章编号： | 1673-4254（2008）02-0293-03 |
| 收稿时间： | 2007-10-29 |
| 修稿时间： | 2007-10-29 |
Endovascular graft exclusion with digital subtraction angiography for treatment of Stanford type B aortic dissection |
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| SONG Jin-wen,LI Yan-hao,CHEN Yong,LU Wei,ZENG Qing-le,ZHAO Jian-bo,MEI Que-lin. Endovascular graft exclusion with digital subtraction angiography for treatment of Stanford type B aortic dissection[J]. Journal of Southern Medical University, 2008, 28(2): 293-295 | |
| Authors: | SONG Jin-wen LI Yan-hao CHEN Yong LU Wei ZENG Qing-le ZHAO Jian-bo MEI Que-lin |
| Affiliation: | Department of Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. jinwensong2003@yahoo.com |
| Abstract: | OBJECTIVE: To assess value of endovascular graft exclusion (EVGE) with digital subtraction angiography (DSA) in the treatment of Stanford type B aortic dissection (AD). METHODS: On the basis of diagnosis with multi-slice spiral CT (MSCT), DSA was performed in 20 Stanford B AD cases for further diagnostic confirmation and EVGE was conducted for treatment. The DSA findings of the cases and the therapeutic effect of EVGE were evaluated. RESULTS: In the 20 cases of Stanford type B AD, altogether 22 stents were implanted during EVGF with a stent release success rate of 100%. Postoperative examination revealed no obvious leakage or false lumen in 15 cases, and death occurred in 1 case 6 days after the operation due to right renal hemorrhage and infection, and the rest 19 patients were cured and discharged. Follow-up of the patients demonstrated improvement in the clinical symptoms, and MSCT showed that all the dissections were sealed successfully. No severe complications were observed 3 months after the treatment in these patients. CONCLUSION: DSA can identify the fine anatomy of AD and allowed intraoperative monitoring in EVGE, which is an effective and safe means for treatment of Stanford type B AD. |
| Keywords: | digital subtraction angiography endovascular graft exclusion Stanford B aortic dissection |
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