摘要
目的 介绍腔内人工血管通过微创法置入治疗主动脉夹层动脉瘤的经验。方法 采用由不锈钢“Z”形支架和超薄涤纶膜组成的腔内人工血管 ,治疗 5例胸主动脉夹层和 1例腹主动脉夹层。其中 3例已累及肾下腹主动脉 ,且有明显的肾功能损害。 6例病人均经CT和动脉造影证实。将 1～ 2个腔内人工血管压缩入 2 4F导送器 ,经右股动脉切开后置入病变部位。其中 1例因进入困难 ,而改用左侧股动脉。结果 术后造影和CT均表明 ,破口被成功封闭 ,假腔内血栓形成 ,无严重并发症。高血压明显下降 2例 ,血尿消失 4例。随访 7～ 12个月 ,CT检查除 1例术后 3个月腔内人工血管发生移位需再置 1枚移植物外 ,其余病人均已痊愈。结论 腔内人工血管治疗主动脉夹层明显简化了手术操作 。
Objective To report the experience of endovascular repair of aortic dissection with a stenting graft. Methods The stenting graft used consists of stainless steel Z stent and ultrathin Dacron (ID 2.5 4 cm, L9 12 cm). The grafts were used in 6 patients with aortic dissection 5 thoracic and 1 abdominal aortic dissection). The position of rupture was detected by CT and angiogram. Renal arteries were involved in 4 patients. Under the X ray guidance, 1 2 stenting grafts were deployed via femoral artery. Results There was no operative mortality and no severe complications. 6 patients were successfully treated by endografts and their dissections were closed completely. At follow up of 10 12 months, all patients were living and well. Conclusion Aortic dissection can be cured by endovascular technique.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2000年第5期270-271,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
人工血管
主动脉瘤
夹层动脉瘤
微创法
Blood vessel prosthesis Aortic aneurysm Aneurysm,dissection Surgery,operative
