Stanford B型主动脉夹层腔内修复16例

Endovascular repair of Stanford B aortic dissection:A report of 16 patients

目的:探讨腔内修复术治疗Stanford B型主动脉夹层的经验及疗效.方法:回顾性分析2007-02/2009-06在我科接受腔内修复术治疗的Stanford B型主动脉夹层患者16例的临床资料及随访资料,总结其疗效.结果:接受治疗者无围术期死亡.本组覆膜支架释放均成功,封闭左锁骨下动脉4例,其中采用动脉导管封堵器封堵左锁骨下动脉1例.随访过程中,无内漏、支架移位等并发症发生.1例于术后1a,发生脑出血死亡,其余均存活.结论:腔内修复术是一种创伤小、安全、有效的治疗Stanford B型主动脉夹层的方法,但其远期疗效有待进一步观察.

AIM：To investigate the experience and clinical efficacy of endovascular repair of Stanford B aortic dissection（AD）.METHODS：Retrospectively analyzed 16 patients with Stanford B AD underwent stent-graft implantation from February 2007 to July 2009.All patients were followed up and the clinical data were analyzed.RESULTS：All patients were technically and clinically successful.Left subclavian artery was totally occluded in 4 patients,1 case was occluded by using patent ductus arteriosus occluder device among the total 4 patients.The serial follow-up imaging demonstrated that the locations and shapes of the stent-graft were stable and no slight endoleakage occurred in all patients;One case died of cerebral hemorrhage.CONCLUSION：Endovascular repair of Stanford B AD is a micro-invasion,safe and efficient therapy,but the long term results remain to further observe.