原位开窗技术在Stanford B型主动脉夹层血管腔内修复术中的应用现状

Status of application of in-situ fenestration technique in Stanford type B aortic dissection endovascular repair

胸主动脉血管腔内修复术(TEVAR)由于创伤小、出血少、术后恢复快,常用于治疗Stanford B型主动脉夹层(TBAD)。近年来,TEVAR常联合开窗技术、烟囱技术、分支技术、杂交技术等治疗TBAD。本综述将从原位开窗的方式、入路途径、器械、术后并发症及其相关处理措施、局限性方面进行阐述,以期为临床治疗提供参考。

Thoracic aortic endovascular repair(TEVAR)is commonly used in the treatment of Stanford type B aortic dissection(TBAD)because of its low trauma,low bleeding,and rapid postoperative recovery.In recent years,TEVAR is often combined with window opening technology,chimney technology,branch technology,hybridization technology to treat TBAD.In this review,the methods of in situ fenestration,approaches,instruments,postoperative complications,related management measures and limitations will be discussed,aiming to provide reference for clinical treatment.