腔内隔绝术治疗Stanford B型主动脉夹层的临床应用

摘要

目的：评价腔内隔绝术（EVGE）治疗Stanford B型主动脉夹层(AD)的价值及临床意义。方法对2012年11月至2015年1月CT主动脉血管成像（CTA）诊断为Stanford B型主动脉夹层的15例患者，行EVGE治疗，总结EVGE治疗疗效。结果15例Stanford B型主动脉夹层中，单纯行EVGE治疗共植入支架18枚，支架释放成功率100%，造影复查15例无明显渗漏或支架移位，术后无死亡病例，1例术后出现急性肾功能损伤，所有患者回访2个月-2年（平均14个月）患者生存质量较好，1例远期出现脑梗死，其余14例无相关并发症。结论 EVGE治疗Stanford B型AD是一种简便、安全疗效好的方法。%Objective To assess value of endovascular graft exelusion (EVGE) in the treatment of Stanford type B aortic dis-section(AD). Methods On January 2012 to January 2015,15 Stanford type B AD cases diagnosed by CTA were treated by EVGE, To evaluate the therapeutic effect of EVGE. Results In the 15 cases of Stanford type B AD,18 stents were implanted with 100%stent release success rate. No obvious leaka-ge in all 15 cases by postoperative examination ,and no death case occurred. Acute renal failure occurred in 1case afier the operation. Brain infarction in 1case was occurred 3 months after EVGE. No complications were observed in future follw-up. Conclusion EVGE is an effective and safe method for the treatment of Stanford type B AD.