Stanford B型主动脉夹层腔内修复的发展现状

Development of endovascular repair of stanford type B aortic dissection

主动脉夹层(AD)是临床常见的灾难性主动脉疾病,其自然预后极差。随着介入治疗技术与相关材料学的发展,胸主动脉腔内修复术(TEVAR)已作为复杂型Stanford B型主动脉夹层(cTBAD)的首选治疗方式,得到了大量开展,随之也产生了许多新的手术方式。本文结合相关文献,对TEVAR的各手术方式进行阐述,并对各种方式的术后动脉重塑情况进行综述,力求对动脉重塑技术的现状进行全面评估。

Aortic dissection(AD)is a common and catastrophic aortic disease in clinic,and its natural prognosis is very poor.With the development of interventional therapy technology and related materials science,thoracic endovascular aortic repair(TEVAR),as the first choice for the treatment of complicated stanford type B aortic dissection(cTBAD),has been extensively developed,and a bunch of new surgical techniques have also been produced.Combined with the relevant literature,this paper describes the surgical techniques of TEVAR,summarizes the postoperative arterial remodeling in each surgical way and strives to evaluate the current situation of arterial remodeling technology comprehensively.