经皮内膜瓣开窗术治疗主动脉夹层引起的缺血并发症

Percutaneous fenestration for ischemic complications of aortic dissection

目的 探讨单纯经皮内膜瓣开窗术治疗主动脉夹层引起的主动脉分支缺血并发症的意义与可能性。方法 1例DeBakeyⅢb型主动脉夹层男性患者 ,因夹层瘤严重撕裂主动脉内膜致双下肢麻痹。经皮穿刺股动脉行单纯夹层瘤内膜开窗术。结果 双下肢血流恢复 ,症状消失 ,双侧股、足背动脉正常触及。结论 经皮内膜瓣开窗术治疗主动脉夹层引起缺血并发症是安全、有效的措施 ,但需尽早。

Objective The evaluation and possibility of percutaneous fenestration for ischemic complications of aortic dissection were disccused. Methods A male patient with aortic dissetion (type: DeBakey Ⅲb) accompanyed by lower extremities pararises was undertaken percutaneous fenestration. Results Both the lower leg's blood flow was recovered with symptom free. Bilateral femoral and dorsal foot pulsations could be feeled. Conclusion Percutaneous fenestration for ischemic complications of aortic dissection is a safe and effective management, but should be done earlier.