带膜支架治疗Stanford B型胸主动脉夹层的经验探讨

目的:探讨Stanford B型胸主动脉夹层(TAD)腔内隔绝术一些经验.方法:回顾性分析我院2002年～2005年全麻下行腔内隔绝术的36例Stanford B型胸主动脉夹层患者的资料.结果:所有患者均成功实行了带膜支架腔内隔绝术,未出现死亡现象,内漏9例,右股动脉切开处内膜撕裂3例.结论:带膜支架置入术治疗Stanford B型胸主动脉夹层是一种安全有效的方法,但术中术后并发症的预防是成功的关键.

Clinical Experience and Study on the Treatment of Thoracic Aortic Dissecting Aneurysm (Stanford B Type) with Endovascular Stent

Objective:To explore the experience of the application of endovascular stent in treating thoracic aortic dissecting aneurysm.Methods:The materials of 36 cases of Stanford B type thoracic aortic dissecting aneurysm treated in our hospital from 2002 to 2005 with endovascular stent isolation and general anaethesia techniques were retrospectively studied.Results:Endovascular isolation technique with stent was successfully performed in all the cases without a death due to the risky procedure.Endovascular leaks in 9 cases and intimal tears of the right femoral arteries at the incision sites in 3 cases were found.Conclusion:Endovascular stent isolation technique was a safe and efficient means for treating Stanford B type thoracic aortic dissecting aneurysms,however,prevention of "on-operation" and post-operative complications was also the key point of success.