慢性胸腹主动脉夹层动脉瘤全腔内治疗进展

Progress in total endovascular aortic repair of chronic post-dissection thoracoabdominal aorticaneurysm

主动脉夹层的治疗已完成向腔内技术的转变,但随着疾病的演进和对疾病了解的深入,针对夹层远期并发症—慢性胸腹主动脉夹层动脉瘤,各国专家在管腔重建、假腔栓塞、裂口封堵、内脏动脉重建等领域研发出了一系列创新性腔内治疗技术和器械,在这个过程中,中国的血管外科专家逐步登上世界舞台,贡献了慢性胸腹主动脉夹层动脉瘤的多个“中国方案”。笔者拟对这些技术及器械作一综述。

The treatment of aortic dissection has already shifted to endovascular strategies.However,with the evolution of this disease and a deeper understanding of it,experts from various countries have developed a series of innovative endovascular techniques and devices in areas such as lumen reconstruction,false lumen embolization,entry sealing,and branch arteries reconstruction,targeting the long-term complication of chronic post-dissection thoracoabdominal aortic aneurysm.The past few decades have seen that Chinese vascular surgeons have gradually emerged on the world stage and contributed multiple"Chinese solutions"for post-dissection thoracoabdominal aortic aneurysm.The author in this review intends to provide an overview of these techniques and devices mentioned above.