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Stanford A型主动脉夹层的血管腔内治疗 被引量：2

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摘要 主动脉夹层是主动脉最常见的疾患．是由于主动脉腔内血液从主动脉内膜撕裂口进入主动脉壁层．形成主动脉壁两层分离状态而成。夹层可沿主动脉长轴方向扩展．如其假腔不断扩大，在主动脉壁间形成动脉瘤．称为主动脉夹层动脉瘤。主动脉夹层可发生于主动脉任何部位．按Stanford分型，凡病变累及升主动脉者为A型．内膜撕裂口可位于升主动脉、主动脉弓或近端降主动脉．病变扩展可累及升主动脉．也可延至弓部、降主动脉或腹主动脉。根据DeBakey分型，如撕裂口位于升主动脉，病变扩展累及主动脉弓、降主动脉、胸主动脉甚至腹主动脉者，称为DeBakeyⅠ型：而内膜撕裂口位于升主动脉．病变扩展仅限于升主动脉者．称为DeBakeyⅡ型。
作者 王深明
机构地区 中山大学附属第一医院血管外科
出处 《外科理论与实践》 2007年第1期7-9,共3页 Journal of Surgery Concepts & Practice
关键词 动脉瘤 夹层 主动脉瘤 血管外科手术 腔内隔绝术 支架
分类号 R543.1 [医药卫生—心血管疾病]
  • 相关文献

参考文献15

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二级参考文献21

  • 1[6]Dorros G,Dorros AM,Planton S,et al.Transseptal guidewire stabilization facilitates stent-graft deployment for persistent proximal ascending aortic dissection.J Endovasc Ther,2000,7(6):506
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共引文献147

同被引文献19

  • 1王和平,邹高伟.21例慢性主动脉夹层的CT诊断[J].中国临床医学,2006,13(3):494-495. 被引量：4
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  • 8Antona C, Vanelti P, Petulla M, et al. Hybrid technique for total arch repair: aortic neck reshaping for endovascular-graft fixation [J]. Ann Thorac Surg, 2007, 83(3) :1158-1161.
  • 9Shah A, Coulon P, de Chaumaray T, et al. Novel technique: staged hybrid surgical and endovascular treatment of acute Type A aortic dissections with aortic arch involvement [J].J Cardiovasc Surg (Torino), 2006, 47(5):497-502.
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外科理论与实践
2007年 第1期

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