摘要
目的 :探讨胸主动脉夹层动脉瘤 (TAD)腔内隔绝术 (EVGE)中远端反流的评估、预防和处理方法。 方法 :术中出现的远端反流采用球囊扩张、远端移植物 (SG)封堵和促凝等方法进行处理。结果 :术中即时反流发现率和术后 期反流发现率均为 3.4 5 % ;术中 期治愈率为 75 %。近、远期病死率为零。结论 :应加强远端反流的术中评估 ,术中未发现远端裂口者不能肯定无远端反流存在。远端裂口隔绝是有效治疗方式 ,其他如假腔内灌注。
Objective:To study the distal reflux in the procedure of endovascular graft exclusion (EVGE) for thoracic aortic dissection (TAD). Methods:The cases with distal reflux were managed with ballooning, cuffing, and coagulate promoting methods in EVGE of TAD. Results:The reflux rate and distal tear ratio were both 3.45% intraoperatively. The curative rate of reflux was 75%, no death in short or long term of time. Conclusion:Thorough evaluation should be done in the operation to detect the distal reflux. Distal tear 'Not found' dose not mean there is no distal tear. To exclude the distal tear is the most effective method for distal reflux. Other management, such as intra false lumen injection, opensurgery, and even do nothing but follow up are all choices according to different conditions.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2002年第7期710-712,共3页
Academic Journal of Second Military Medical University
基金
军队杰出人才基金资助项目 (98J0 0 5 )
上海市卫生系统百名优秀跨世纪学科带头人培养计划资助项目(97BR0 47)
上海市科技发展基金攻关计划资助项目(0 0 44 190 2 9)
长海医院学科攀登计划基金资助课题
关键词
胸主动脉夹层动脉瘤
腔内隔绝术
远端反流
识别
处理
aortic aneurysm,thoracic
aneurysm,dissecting
endovascular graft exclusion
distal reflux
