共查询到20条相似文献,搜索用时 46 毫秒
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主动脉夹层动脉瘤为凶险的疾病。传统的治疗方法为主动脉人工血管置换,创伤大,死亡率、并发症都较高。应用人造血管覆膜支架进行血管腔内隔绝术治疗为一种较新的治疗手段。我院于2003—09~2006—03,行腔内隔绝术治疗主动脉夹层动脉瘤6例,报告如下。 相似文献
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随着胸主动脉腔内修复术(TEVAR)的广泛应用及迅速发展,腔内治疗已成为了Stanford B型主动脉夹层的一线治疗方法。腔内治疗主动脉夹层的预后除了依赖于术前个体化方案的制定和术中操作者的经验,更依赖于手术指征及时机的掌握。对于急性期复杂性B型夹层,提倡在药物治疗的基础上早期行TEVAR手术;对于急性期非复杂性B型夹层是否可行TEVAR手术仍存在争议。文章主要就急性期B型主动脉夹层行腔内治疗的研究进展进行综述。 相似文献
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腔内隔绝术治疗胸主动脉夹层(附25例临床分析) 总被引:9,自引:0,他引:9
目的 探讨腔内隔绝术治疗胸主动脉夹层的方法和疗效。方法 对25例(年龄42~72岁;男23例,女2例)胸主动脉夹层患者行腔内隔绝术,并进行临床分析和随访,评价其临床改善程度与真假腔的变化。结果 在全麻下25例均成功进行了胸主动脉夹层的血管腔内隔绝术,其中1例为Standford A型,共使用Talent带膜血管支架28个,术中造影证实夹层裂口完全封闭或内漏显著减少,无术中严重并发症及死亡发生,25例随访2~20个月,临床效果良好,假腔内血栓形成。结论 应用带膜血管内支架行腔内隔绝术是治疗胸主动脉夹层安全有效的方法,尤其在亚急性期或慢性期应作为首选的治疗方法。 相似文献
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目的:探讨腔内修复术治疗Stanford B型主动脉夹层的效果。方法:对2005-09~2010-02期间18例Stanford B型主动脉夹层患者实行血管造影和血管腔内带膜支架植入手术治疗,术后3、6、12个月行CTA检查,观察手术疗效以及有无狭窄、移位和扭曲等术后并发症。结果:无中转开胸手术。除1例再发Stanford A型夹层破裂死亡外,其余患者均顺利出院。结论:主动脉夹层腔内修复术治疗Stanford B型主动脉夹层是一种安全有效的方法,早期结果满意,中远期效果还有待观察。 相似文献
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W E Torres D E Maurer H V Steinberg S Robbins M E Bernardino 《AJR. American journal of roentgenology》1988,150(6):1317-1319
Aortic calcification, either mural or thrombus, is a common finding in patients with abdominal aortic aneurysms. Differentiating between the two sites of calcification is necessary in order to avoid confusing simple thrombus calcification with displaced calcified intima in aortic dissection. The CT scans of 145 cases of abdominal aortic aneurysm and seven cases of abdominal aortic aneurysm with dissection were analyzed with respect to the location of the calcification: mural only or mural and thrombus. Mural calcification was seen in all 152 patients with aneurysms whereas thrombus calcification was identified in only 33 (24%) of the 136 patients with thrombus. Displaced intimal calcification caused by aortic dissection can either appear similar to or, at times, be indistinguishable from thrombus calcification. Thrombus calcification was present in four (57%) of the seven patients with abdominal aortic aneurysms and dissection. To avoid the possibility of a false-positive diagnosis of aortic dissection in patients with abdominal aortic aneurysm, other signs of aortic dissection should be sought such as separation of the true and false lumina by an intimal flap. 相似文献
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W. J. Shih C. H. Tsai A. Kazmers J. K. Lee K. Gross V. Stipp C. Pulmano S. Magoun 《Annals of nuclear medicine》1996,10(2):241-245
Radionuclide angiogram (RNA) and aortogram may underestimate external aneurysmal diameter. Photon deficient areas are not uncommon along the abdominal aortic aneurysm (AAA) on RNA. To determine whether or not photon deficient areas along the aneurysm could represent a large thrombus, we studied radionuclide aortic angiography in thirty-eight patients during a preoperative cardiac gated study. All the patients (men, ages from 60 to 78) had CT, US, and/or aortogram for comparison. The presence of a thrombus was determined by CT, US, and/or surgical findings. Twelve of 38 (32%) patients’ RNA and blood pool images showed photon deficient areas along the aneurysmal walls having a large concentric or eccentric thrombus of the AAA. A large photon deficient area could be detected along the narrowing calibre of the aorta lumen. This finding results from a large mural thrombus being interposed between the left or right bowel/mesentery activity and the activity of the aneurysms functioning patent lumen. We concluded that a photon deficient area along an inferorenal aortic aneurysm may indicate a large thrombus of either eccentric or concentric type within an AAA. 相似文献
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目的探讨胸、腹主动脉病变不同血管内治疗方法的临床疗效。方法7例患者,其中DebakeyⅢ型主动脉夹层5例(4例行一体式支架腔内隔绝术,1例行内膜瓣开窗术);DebakeyⅢ型主动脉夹层外院外科人造血管置换术后降主动脉假性动脉瘤形成1例(行一体式支架腔内隔绝术);肾动脉开口以下腹主动脉瘤1例(行分体式支架腔内隔绝术)。结果5例一体式支架腔内隔绝术均获成功,2例出现Ⅰ型内漏,1例经球囊扩张后内漏消失,1例30 min后内漏减少,未处理;1例内膜瓣开窗术后患者双下肢缺血症状消失;1例分体式支架腔内隔绝术后造影提示动脉瘤消失,无内漏发生。结论应用血管内支架移植物或内膜瓣开窗术治疗胸、腹主动脉病变安全有效,其中分体式支架的临床应用具有更好的前景。 相似文献
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B型主动脉夹层腔内修复治疗的荟萃分析 总被引:1,自引:0,他引:1
目的 分析B型主动脉夹层腔内修复治疗的技术成功率、轻微并发症、严重并发症、脑卒中、截瘫等的发生率.方法 系统收集1999年至2009年Medline收录的有关B型主动脉夹层腔内修复治疗文献,通过制定纳入和排除标准,对所得数据进行汇总分析.结果 在收录的12篇文献中,共有病例数761例,B型主动脉夹层腔内修复治疗的技术成... 相似文献
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Arita T Matsunaga N Mita T Furukawa M Hara A Sasai K Ikenaga S Takenaka H Zempo N Esato K 《Journal of computer assisted tomography》2000,24(1):86-91
The purpose of this case report is to determine the unique pathogenesis of a "spared flow tract" through a thick mural thrombus of an aortic aneurysm mimicking the penetrating or dissecting tract of an impending or acute rupture of an abdominal aortic aneurysm (AAA) and to discuss its clinical importance. Three blood flow tracts (i.e., spared flow tracts) penetrating to aortic major branches (inferior mesenteric arteries in two and left renal artery in one) through thick mural thrombi of three aortic aneurysms were found on thin section spiral CT scans. Histopathological examination revealed that the tracts were formed by thrombi and partially covered with endothelial cells. In conclusion, spared flow tracts may be pathways continuing to the aortic major branches through thick mural thrombi of aortic aneurysms and are spared from thrombogenesis because of relatively high blood flows. Their pathogenesis is definitely different from penetrating or dissecting tracts within mural thrombi of ruptured AAAs. Spared flow tracts should not be misinterpreted as penetrating or dissecting tracts of impending or acute rupture. 相似文献
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F M Danza A L Valentini C Colosimo M Vincenzoni 《Journal of computer assisted tomography》1986,10(1):126-129
A case of postoperative false aneurysm of the ascending aorta with serial CT and angiographic demonstration is described. Some considerations on the behavior of early thrombosis are discussed. 相似文献
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Introduction
Partially thrombosed aneurysms are known to be vulnerable to recanalization after coiling. However, concerns about the extent or age of intra-aneurysmal thrombosis have not been addressed in relation to the recanalization. We evaluated the follow-up results in ten patients with largely thrombosed (≥80% in volume) saccular aneurysms treated by coil embolization. 相似文献19.
Hélène Vernhet Claudine Bousquet Betty Jean Alvian Lesnik Gérard Durand Jacques Giron Jean Paul Senac 《Cardiovascular and interventional radiology》1999,22(3):254-257
Bronchial artery dilatation and aneurysm formation is a potential complication of local inflammation, especially in bronchiectasis.
When the bronchial artery has an ectopic origin from the inferior segment of the aortic arch, aneurysms may mimick aortic
aneurysms. Despite this particular location, endovascular treatment is possible. We report two such aneurysms that were successfully
embolized with steel coils. 相似文献