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覆膜支架远端联合裸金属支架治疗B型主动脉夹层效果的系统评价 被引量：11

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摘要 急性主动脉夹层是一种常见的致死性主动脉疾病.经胸主动脉腔内修复术（TEVAR）已广泛应用于治疗B型主动脉夹层.该项术式的原理是覆膜支架封闭原发破口从而增加真腔血流灌注量.Szeto等[1]研究资料显示,应用TEVAR治疗B型复杂型夹层,其患者30 d死亡率（2.8％）低于开胸手术.但是,目前在慢性复杂型B型主动脉夹层患者中应用覆膜支架的适应证仍存在争议.Ito等[2]认为,使用裸金属支架可促进支架段假腔血栓化进程.Tsai等[3]研究提示,假腔完全血栓化的患者预后较假腔部分血栓化的患者好,即完全封闭假腔能够改善夹层患者的预后.所以,在夹层患者中联合使用近端覆膜支架及远端裸金属支架可促进真腔扩大及假腔血栓化[4],减少动脉瘤样改变及破裂从而降低再次手术的发生率.
作者 杨帆 罗建方
机构地区 南方医科大学 广东省人民医院 广东省医学科学院 广东省人民医院心内科 广东省医学科学院
出处 《中国介入心脏病学杂志》 2014年第2期114-116,共3页 Chinese Journal of Interventional Cardiology
关键词 覆膜支架 裸金属支架 B型主动脉夹层
分类号 R543.1 [医药卫生—心血管疾病]
  • 相关文献

参考文献17

  • 1Szeto WY,McGarvey M,Pochettino A,et al.Results of a new surgical paradigm:endovascular repair for acute complicated type B aortic dissection.Ann Thorac Surg,2008,86:87-93; discussion 93-94.
  • 2Ito N,TsunodaT,NakamuraM,et al.Percutaneous bare Z-stent implantation as an alternative to surgery for acute aortic dissection with visceral ischemia.Catheter Cardiovasc Interv,2003,58:95-100.
  • 3Tsai TT,Evangelista A,Nienaber CA,et al.Partial thrombosis of the false lumen in patients with acute type B aortic dissection.N Engl J Med,2007,357:349-359.
  • 4牛云茜,邓锡伟,罗建方.裸金属支架结合覆膜支架修复主动脉夹层二例报道[J].中国介入心脏病学杂志,2013,21(1):62-64. 被引量：4
  • 5Lombardi JV,Cambria RP,Nienaber CA,et al.Prospective multicenter clinical trial (STABLE) on the endovascular treatment of complicated type B aortic dissection using a composite device design.J Vasc Surg,2012,55:629-640.
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二级参考文献29

  • 1Dake MD,Kato N, Mitchell RS, et. al. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med, 1999, 340 : 1546-1552.
  • 2Nienaber CA, Fattori R, Lund G, et al. Nonsurgicalreconstruction of thoracic aortic dissection by stent-graft placement. N Eng! J Med, 1999, 340:1539-1545.
  • 3Ito N,Tsunoda T, Nakamura M, et at. Pcrcutaneous bare Z-stent implantation as an alternative to surgery for acute aortic dissection with visceral ischemia. Catheter Cantiovasc lnterv, 2003, 58: 95-100.
  • 4Nienaber CA,Kische S, Zeller T, et al. Provisional extension to induce complete attachment after stent-graft placement in Type B aortic dissection: the PETYICOAT concept. J Endovasc Ther, 2006, 13:738-746.
  • 5Mossop P,Nixon I, Oakes J, et al. Immediate "total" aortic true lumen expansion in type A and B acute aortic dissection after endovascular aortic endografting and GZSD bare stenting. J Thorac Cardiovase Surg, 2007, 134 : 1360-1362.
  • 6Jamshidi P,Mahmoody K, Eme P. Covered stents: a review. IntJ Cardiol,2008,130:310-318.
  • 7Danenberg H. Pericardium covered stent : a novel device fortreatment and prevention of coronary emergencies. Eurolntervent,2009,5 :E106.
  • 8Levy JH, Adkinson NF Jr. Anaphylaxis during cardiac surgery :implications for clinicians. Anesth Analg, 2008 ,106 :392-403.
  • 9Jokhi PP,McKenzie DB, 0*Kane P. Use of a novel pericardialcovered stent to seal an iatrogenic coronary perforation. J InvasiveCaniiol, 2009,21 :E187-E190.
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共引文献5

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引证文献11

二级引证文献73

中国介入心脏病学杂志
2014年 第2期

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