杂交技术治疗主动脉弓部病变的近远期结果

目的 探讨杂交技术治疗主动脉弓部病变的近、远期结果.方法 将我科2002年10月至2011年3月期间的28例胸主动脉瘤或夹层累及主动脉弓的患者纳入本研究.男22例,女6例;平均年龄68岁.15例为动脉粥样硬化性胸主动脉瘤,13例为主动脉夹层.术后3、6、12个月及每年进行CT血管造影或B超随访.主要研究内容是手术死亡率、并发症发生率及远期生存率.结果 12例开胸行全弓旁路术,左侧颈总-左侧锁骨下动脉旁路3例,右侧颈总-左侧颈总-左侧锁骨下动脉旁路11例,右侧颈总-左侧颈总动脉旁路2例.技术成功率为92.9%(26/28),并发症发生率为35.7%(10/28),手术死亡率为7.1%(2/28),脑卒中发生率为7.1%(2/28).随访时间(36±3)个月,1年通畅率为100%,3年通畅率为92.9%(26/28),5年通畅率85.7%(24/28);1年生存率为89.3%(25/28),3年生存率为71.4%(20/28),5年生存率为60.7%(17/28).结论 主动脉夹层弓部病变杂交手术的近、远期结果满意,进一步降低并发症发生率将会提高患者生存率.

Hybrid Procedures in Treatment for Aortic Arch Lesions: Short- and Long-Term Results

Objective To evaluate the short-and long-term results of hybrid procedures in the treatment for aortic arch lesions. Methods From October 2002 to March 2011,28 patients with thoracic aortic aneurysms or dissections involving the aortic arch were treated with hybrid endovascular treatment in our center.Twenty-two males and 6 females were in the series.The mean age of the patients was 68 years old.Of 28 patients,15 were atherosclerotic thoracic aortic aneurysms and 13 were thoracic aortic dissection.Follow-up...