Endovascular repair of aneurysms or dissection aneurysms of the aortic arch—preliminary experiences in 14 cases

摘要

To evaluate the efficacy of endovascular repair (EVR) for aneurysms or dissection aneurysms of the aortic arch.Methods Twelve aortic dissection aneurysm (ADA) patients with the primary entry located within 15 mm beyond the origin of the left subclavian artery (LSA) and two aortic arch aneurysm patients underwent EVR from June 2003 to August 2004.EVR with intentional coverage of the LSA without any supportive bypass was employed in 8 ADA patients,and the preliminary cervical reconstruction combined with EVR in the remaining 6 cases.Results Technical success was achieved in all cases.One case died of postoperative cerebral infarction.No neurological deficits or limb ischemia developed perioperatively or during the follow-up period ranging from 1 to 14 months and complete thrombosis of the thoracic aortic false lumen and remarkable aneurysmal thrombosis were revealed by CT in all 12 ADA cases and the remaining aneurysm case respectively.Conclusion EVR is effective in the management of aneurysms or dissection aneurysms of the aortic arch.6 refs,3 figs.