主动脉夹层动脉瘤的血管腔内治疗

Therapeutic Effects of Endovascular Stent-graft Exclusion on Aortic Dissecting Aneurysm

目的探讨腔内治疗主动脉夹层动脉瘤的方法和疗效。方法42例主动脉夹层动脉瘤患者均以带膜支架型人工血管行腔内隔绝术,4例先行右颈总动脉-左颈总动脉人工血管旁路术,再行腔内隔绝术。结果42例手术成功,无1例患者死亡,无术后截瘫,随访假腔血栓形成。结论腔内治疗主动脉夹层动脉瘤是安全、有效的方法,具有创伤小、并发症少的优点。

Objective To study the techniques and therapeutic effects of endovascular stent-graft exclusion in aortic dissecting aneurysm. Methods Endovascular stent-graft exclusion was performed in all cases, among which , four cases were subjected to graft bypass from the right common carotid artery to the left common carotid artery before endovascular stent-graft exclusion. Results The procedure was successful in all patients. No one died in operation. No postoperative paraplegia occurred. Thrombogenesis was found in false lumen. Conclusion Endovascular therapy of aortic dissecting aneurysm has the advantage of micro-invasion, less severe complications, is simple, safe and effective in treating aortic dissecting aneurysm.