Thoracic Endovascular Aortic Repair for Stanford Type B Aortic Dissection_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIChang-qing ^1,2 ,  YANGJian ²

1. Depart-ment of Cardiothoracic Surgery, Wuhu Second People's Hospital, Wuhu 241000, Anhui, P. R. China;
2. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

YANGJian, Email: ak8328@hotmail.com

Keywords：

Stanford type B aortic dissection; Coated stent; Thoracic endovascular aortic repair; Aortic Aneurysm

DOI：

10.7507/1007-4848.20140100

Video：

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Objective To evaluate clinical outcomes of thoracic endovascular aortic repair (TEVAR)for the treatment of Stanford type B aortic dissection (AD)and descending aortic aneurysm. Methods Clinical data of 20 patients with Stanford type B AD or descending aortic aneurysm who underwent TEVAR in West China Hospital from March to June 2013 were retrospectively analyzed. There were 19 male and 1 female patients with their age of 41-76 (58.3±10.2)years. Clinical outcomes were analyzed. Results Among the 20 patients, 18 patients were successfully discharged, 1 patient refused further postoperative treatment and was discharged, and 1 patient died postoperatively. Sixteen patients (88.9%)were followed up for over 3 months. In all the patients during follow-up, true lumen diameter recovered within the scope of intravascular stents, and there was thrombosis in false lumen or aneurysm lumen. Conclusion TEVAR provides a new choice with significant advantages for the treatment of Stanford type B AD, especially for the elderly and patients with concomitant serious diseases, so it is worthy of clinical application.

Citation： LIChang-qing, YANGJian. Thoracic Endovascular Aortic Repair for Stanford Type B Aortic Dissection. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(3): 364-366. doi: 10.7507/1007-4848.20140100 Copy

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2.	肖志華, 陳燕.主動脈夾層誤診分析11例.中國社區醫師:醫學專業, 2011, 13 (16):244.
3.	吳孟超, 吳在德, 主編.黃家駟外科學.第7版.人民衛生出版社, 2008. 2257-2261.
4.	Tsai TT, Trimarchi S, Nienaber CA. Acute aortic dissection:persp-ectives from the International Registry of Acute Aortic Dissection (IRAD). Eur J Vasc Endovasc Surg, 2009, 37 (2):149-159.
5.	Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Aortic Dissection (IRAD):New insights into an old disease. JAMA, 2000, 283 (7):897-903.
6.	Song TK, Donayre CE, Walot I, et al. Endograft Exclusion of acute and chronic descending thoracic aortic dissections. J Vas Surg, 2006, 43 (2):247-258.
7.	郝良玉.覆膜支架腔內隔絕術治療Stanford-B型夾層動脈瘤11例.內蒙古醫學雜志, 2008, 40 (10):1241-1242.
8.	皮勇, 陳曹陽, 李智英, 等.腔內隔絕術治療胸主動脈夾層動脈瘤79例臨床應用研究.亞太傳統醫藥, 2012, 8 (9):90-92.
9.	Tsai TT, Nienaber CA, Eagle KA. Acute Aortic Syndrnmes. Circulation, 2005, 112:3802-3813.
10.	楊棟, 潘揚.腔內隔絕術治療胸主動脈夾層.貴陽醫學院學報, 2010, 35 (3):314-316.
11.	王軍, 王高明, 許飚, 等.腔內隔絕治療77例StanfordB型夾層動脈瘤的報告.醫學研究生學報, 2012, 25 (8):841-843.
12.	張明宇, 夏洪遠, 董玉梅, 等.腔內隔絕術治療Stanford B型胸主動脈夾層18例.哈爾濱醫科大學學報, 2011, 45 (3):286-288.
13.	徐克, 吳瑕, 陳冉, 等.腔內修復術治療DeBakeyⅢ型主動脈夾層動脈瘤中遠期療效評價.介入放射學雜志, 2008, 17 (8):567-569.
14.	張永杰, 霍鑫.腔內修復術治療胸主動脈夾層.中國普通外科雜志, 2009, 18 (12):1238-1240.
15.	陳偉, 楊建勇, 莊文權, 等.腔內隔絕術治療胸主動脈夾層.中華放射學雜志, 2013, 37 (11):1007-1011.

1. 鮑然.主動脈夾層動脈瘤的診治體會.中國社區醫師:醫學專業, 2012, 14 (7):67.
2. 肖志華, 陳燕.主動脈夾層誤診分析11例.中國社區醫師:醫學專業, 2011, 13 (16):244.
3. 吳孟超, 吳在德, 主編.黃家駟外科學.第7版.人民衛生出版社, 2008. 2257-2261.
4. Tsai TT, Trimarchi S, Nienaber CA. Acute aortic dissection:persp-ectives from the International Registry of Acute Aortic Dissection (IRAD). Eur J Vasc Endovasc Surg, 2009, 37 (2):149-159.
5. Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Aortic Dissection (IRAD):New insights into an old disease. JAMA, 2000, 283 (7):897-903.
6. Song TK, Donayre CE, Walot I, et al. Endograft Exclusion of acute and chronic descending thoracic aortic dissections. J Vas Surg, 2006, 43 (2):247-258.
7. 郝良玉.覆膜支架腔內隔絕術治療Stanford-B型夾層動脈瘤11例.內蒙古醫學雜志, 2008, 40 (10):1241-1242.
8. 皮勇, 陳曹陽, 李智英, 等.腔內隔絕術治療胸主動脈夾層動脈瘤79例臨床應用研究.亞太傳統醫藥, 2012, 8 (9):90-92.
9. Tsai TT, Nienaber CA, Eagle KA. Acute Aortic Syndrnmes. Circulation, 2005, 112:3802-3813.
10. 楊棟, 潘揚.腔內隔絕術治療胸主動脈夾層.貴陽醫學院學報, 2010, 35 (3):314-316.
11. 王軍, 王高明, 許飚, 等.腔內隔絕治療77例StanfordB型夾層動脈瘤的報告.醫學研究生學報, 2012, 25 (8):841-843.
12. 張明宇, 夏洪遠, 董玉梅, 等.腔內隔絕術治療Stanford B型胸主動脈夾層18例.哈爾濱醫科大學學報, 2011, 45 (3):286-288.
13. 徐克, 吳瑕, 陳冉, 等.腔內修復術治療DeBakeyⅢ型主動脈夾層動脈瘤中遠期療效評價.介入放射學雜志, 2008, 17 (8):567-569.
14. 張永杰, 霍鑫.腔內修復術治療胸主動脈夾層.中國普通外科雜志, 2009, 18 (12):1238-1240.
15. 陳偉, 楊建勇, 莊文權, 等.腔內隔絕術治療胸主動脈夾層.中華放射學雜志, 2013, 37 (11):1007-1011.

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