杂交技术治疗累及弓部主动脉病变的中国专家共识

Chinese expert consensus on Hybrid technique for the treatment of aortic arch lesions

累及弓部的主动脉病变病情复杂,治疗困难。传统的外科手术与微创腔内修复术均存在不足,将两种技术相融合的Hybrid技术(或称杂交技术)则提供了多元化的治疗选择。国家心血管病专家委员会血管外科专业委员会组织专家学者,参考国内外临床实践,以国内专家实践为主,结合文献报道形成了本专家共识。旨在阐明Hybrid主动脉弓修复术分型、技术优势、所需硬件条件和团队要求,以及针对各型Hybrid手术的适应证、禁忌证、手术基本流程等方面提出规范和建议。

Aortic lesions involving the aorta arch are complicated and intractable to deal with.Neither conventional surgery nor total endovascular repair is feasible for all patients.Hybrid technique,which combines these two methods,provides a new option for aorta arch reconstruction.Experts and scholars organized by National Society of Vascular Surgery compose this consensus primarily based on the practice of domestic experts,with reference of international clinical practice and combination of literature reports.The purpose of this consensus is to clarify the classification,advantages,facilities and technical team requirements of Hybrid aortic arch repairs,and to provide guidance and suggestions on indications,contraindications and operation procedures for different type of Hybrid aortic arch repairs.