| 血管内超声介导下主动脉夹层腔内修复术——无造影剂介入治疗1例报道 |
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| 引用本文： | 罗建方,黄文晖,谢年谨,胡孜阳,刘媛,杨峻青,范瑞新,陈纪言.血管内超声介导下主动脉夹层腔内修复术——无造影剂介入治疗1例报道[J].岭南心血管病杂志,2011,17(6):450-453. |
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| 作者姓名： | 罗建方 黄文晖 谢年谨 胡孜阳 刘媛 杨峻青 范瑞新 陈纪言 |
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| 作者单位： | 广东省医学科学院广东省人民医院广东省心血管病研究所心内科,广州,510100 |
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| 基金项目： | 广东省科技厅基金(项目编号:2010B031600170) |
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| 摘 要： | 目的探讨血管内超声代替基于造影剂的血管显影指引主动脉腔内修复术的可行性和价值。方法我们对1例StandfordB型主动脉夹层合并肾功能不全患者行主动脉腔内修复术，术中使用血管内超声指引寻腔、定位、支架释放和进行解剖学检查，全程避免使用造影剂。结果手术使用造影剂0mL，手术时间125min，寻腔、定位及支架释放过程顺利。支架到位准确，扩张及贴壁良好。术后无内漏或新发夹层，无其他并发症。术后1周患者血清肌酐浓度无增高。结论在本例患者中，血管内超声代替基于造影剂的血管显影指引主动脉腔内修复术可行，该技术可能避免肾功能不全患者肾功能恶化。
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| 关 键 词： | 主动脉夹层 超声检查，介入性 肾功能不全 腔内修复术 |
Intravascular ultrasound in guiding endovascular aortic aneurysm repair-a case report of interventional therapy without contrast media |
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| LUO Jian-fang,HUANG Wen-hui,XIE Nian-jin,HU Zi-yang,LIU Yuan,YANG Jun-qing,FAN Sui-xin,CHEN Ji-yan.Intravascular ultrasound in guiding endovascular aortic aneurysm repair-a case report of interventional therapy without contrast media[J].South China Journal of Cardiovascular Diseases,2011,17(6):450-453. |
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| Authors: | LUO Jian-fang HUANG Wen-hui XIE Nian-jin HU Zi-yang LIU Yuan YANG Jun-qing FAN Sui-xin CHEN Ji-yan |
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| Institution: | LUO Jian-fang,HUANG Wen-hui,XIE Nian-jin,HU Zi-yang,LIU Yuan,YANG Jun-qing,FAN Sui-xin,CHEN Ji-yan(Departmen of Cardiology,Guangdong Institute of Cardiovascular,Guangdong General Hospital,Guangdong Academy of Medical Science,Guangzhou 510100,China) |
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| Abstract: | Objectives To investigate the feasibility and clinical value of intravascular ultrasound(IVUS) in guiding endovascular aortic aneurysm repair(EVAR).Methods With EVAR procedure for a patient suffered from Standford type B aortic dissection and renal insufficiency,we utilized IVUV to guide the lumen tracking,rupture site localization,stent delivery and intra-procedure examination of anatomic result.We attempted to avoid any dose of iodic contrast.Results Zero milliliter iodic contrast was consumed in the proc... |
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| Keywords: | aortic dissection intravascular unltrasound renal insufficiency endovascular aortic aneurysm repair |
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