Endovascular Stent-graft Treatment for Stanford Type A Aortic Dissection

被引:75
作者
Ye, C. [1 ]
Chang, G. [1 ]
Li, S. [1 ]
Hu, Z. [1 ]
Yao, C. [1 ]
Chen, W. [2 ]
Li, X. [1 ]
Wang, S. [1 ]
机构
[1] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Vasc Surg, Guangzhou 510080, Guangdong, Peoples R China
[2] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Intervent Radiol, Guangzhou 510080, Guangdong, Peoples R China
关键词
Aortic dissection; DeBakey type I; Endovascular treatment; Stanford type A dissection; SURGICAL-TREATMENT; TRANSLUMINAL PLACEMENT; THORACIC AORTA; ARCH; ANEURYSMS; MANAGEMENT; EXCLUSION; REPAIR;
D O I
10.1016/j.ejvs.2011.08.015
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective: The aim of the study is to summarise our experience of endovascular stent grafting for Stanford type A aortic dissection. Design: Retrospective analysis at single centre. Methods: From January 2001 to January 2009, we treated 45 cases of Stanford type A aortic dissection with endovascular stent grafting. The entry tear was located at the ascending aorta in 10 cases (DeBakey type I), the aortic arch in 14 cases and the distal aortic arch or proximal descending aorta in 21 cases in which the ascending aorta was also involved by the dissection. Results: The surgical success rate was 97.8% (44/45) and 30-day mortality rate was 6.7% (3/45). Type I endoleaks occurred in 10 cases: one patient died intra-operatively, four were successfully treated with ballooning, four were sealed with aortic cuffs and one case caused by left subclavian artery (LSA) reflux was sealed with an occluder. Average follow-up time was 35.5 +/- 5.4 months. Up to the most recent review or death; 32 patients had complete thrombosis and 10 had partial thrombosis inside the false lumen. Two deaths occurred after 30-days postoperatively. Conclusion: Endovascular stent-graft treatment is a minimally invasive and effective method to treat Stanford type A aortic dissection. (C) 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:787 / 794
页数:8
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