慢性胸腹主动脉夹层动脉瘤治疗选择

Treatment choices of chronic thoracoabdominal aortic dissection aneurysm

慢性胸腹主动脉夹层动脉瘤的治疗依然是主动脉外科的一大挑战。外科开放手术是目前的主流治疗方式。腔内手术治疗慢性胸腹主动脉夹层动脉瘤的新器械逐渐在临床上展开应用。杂交手术是结合开放手术和腔内手术的一种方式。应根据患者的年龄、解剖情况、是否合并遗传性主动脉疾病和合并症等方面,选择合适的治疗方式。

The treatment of chronic thoracoabdominal aortic dissection aneurysm remains a major challenge in aortic surgery.Open surgery is the mainstream treatment at present.New devices for endovascular treatment of chronic thoracoabdominal aortic dissection are gradually applied in clinical practice.The hybrid procedure is a combination of open and endovascular procedures.The appropriate treatment should be selected according to the patient's age,anatomy,genetic aortic disease,and comorbidities.