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分体式支架-移植物治疗主动脉病变的初步报告
引用本文:李麟荪,施海彬,张石江,张馥敏,吴翔,王立富,吴宁,马文珠.分体式支架-移植物治疗主动脉病变的初步报告[J].中华放射学杂志,2005,39(9):917-920.
作者姓名:李麟荪  施海彬  张石江  张馥敏  吴翔  王立富  吴宁  马文珠
作者单位:1. 210029,南京医科大学第一附属医院放射科
2. 210029,南京医科大学第一附属医院外科
3. 210029,南京医科大学第一附属医院内科
4. 扬州大学附属医院
5. 海南医学院附属医院
摘    要:目的 介绍分体式支架-移植物(separating stent—graft)及其早期应用体会。方法 器械采用12F输送器,先后1次性经皮穿刺置入主动脉分体式支架-移植物的外、内两部分。4例患者为主动脉夹层StanfordB型、胸主动脉瘤与腹主动脉瘤。结果 1例夹层破口被封闭,病灶被隔绝;1例胸主动脉瘤病灶被隔绝,有轻度内瘘;2例腹主动脉瘤,瘤体均被隔绝。结论 分体式支架-移植物治疗主动脉夹层与主动脉瘤是1种有效、方便、更安全、更微创的治疗方法。

关 键 词:主动脉瘤  动脉瘤  夹层  支架  放射学  介入性  支架-移植物  主动脉病变  治疗方法  StanfordB型  主动脉夹层  腹主动脉瘤
收稿时间:2005-02-23
修稿时间:2005-02-23

Preliminary report on the treatment of aortic disease with separating stent-graft
LI Lin-sun,SHI Hai-bin,ZHANG Shi-jiang,ZHANG Fu-min,WU Xiang,WANG Li-fu,WU Ning,MA Wen-zhu.Preliminary report on the treatment of aortic disease with separating stent-graft[J].Chinese Journal of Radiology,2005,39(9):917-920.
Authors:LI Lin-sun  SHI Hai-bin  ZHANG Shi-jiang  ZHANG Fu-min  WU Xiang  WANG Li-fu  WU Ning  MA Wen-zhu
Institution:1. Department of Radiology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China
Abstract:Objective To introduce a separating stent-graft therapy and our preliminary experience. Methods Using 12-F introducer, percutaneous management with separating stent-graft was performed for aortic dissection Type B (1 case), thoracic aortic aneurysm (1 case), and abdominal aortic aneurysm (2 cases). Results The dissection was sealed and the aneurysms were completely excluded except one case with mild endoleak and ischemia in cerebellum which was cured by bypass graft. Conclusion The treatment with separating stent-graft for aortic dissection Type B, thoracic and abdominal aortic aneurysms is an effective, easy, safe and more minimal invasive method.
Keywords:Aorta  aneurysms  Aneurysm  dissecting  Stent  Radiology  interventional
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