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覆膜支架封闭左锁骨下动脉治疗胸主动脉瘤的临床疗效 被引量:4

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摘要 目的探讨覆膜支架修复术治疗胸主动脉瘤时封闭左锁骨下动脉的临床疗效。方法2011年3月至2012年3月,23例患者行覆膜支架腔内修复术治疗胸主动脉瘤时封闭左锁骨下动脉。StanfordB型主动脉夹层13例,假性动脉瘤7例,主动脉穿透性溃疡3例。所有患者于术前经过螺旋CT血管造影(CTA)检查,显示主动脉夹层或假性动脉瘤破口与左锁骨下动脉的距离均小于1.5cm,并经过血管超声及CTA检查了解颈动脉、椎动脉及大脑Willis动脉环情况。随访6~12个月,分析临床效果。结果23例患者支架全部成功置入。术后左上肢平均动脉压均有不同程度的降低(30-45mmHg)。18例患者左上肢桡动脉搏动减弱或消失,但运动感觉无受限。随访6~12个月,无神经系统症状发生,3例有左上肢轻度缺血和肌肉轻度萎缩。15例患者于出院后6个月接受CTA复查,发现破口完全封闭,假腔内血栓形成,均未发现支架移位和内漏。结论覆膜支架治疗胸主动脉瘤时封闭左锁骨下动脉是可行的,但需要充分的术前准备。远期疗效还有待进一步观察。
出处 《中华临床医师杂志(电子版)》 CAS 2013年第17期162-163,共2页 Chinese Journal of Clinicians(Electronic Edition)
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