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在内血管支架移植后进行逆行型A动脉剖析,用于治疗B型剖析
Zhi Hui Dong1, Wei Guo Fu, Yu Qi Wang
1Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Circulation
|January 28, 2009
概括
在用于B型剖析的支架移植后进行逆行型A型大动脉剖析并不罕见. 支架移植因素和大动脉壁脆弱性有助于,需要改进设备设计和技术,以减少发生.
科学领域:
- 心血管外科心血管外科
- 血管内血管治疗 血管内血管治疗
背景情况:
- 逆行型A大动脉剖析是B型剖析内血管支架移植的罕见但未被认可的并发症.
- 这项研究调查了这种危及生命的事件的发生率和特征.
研究的目的:
- 为了确定B型剖析内血管支架移植后逆行型A型大动脉剖析的发生率.
- 确定与这种并发症相关的诱导因素和结果.
主要方法:
- 从2000年8月到2007年6月,对443名接受B型剖析支架移植的患者进行了回顾性审查.
- 剖析位置的分析,患者的并发症 (包括马芬综合征) 和治疗结果.
主要成果:
- 11名患者 (2.5%) 患有逆行型A型大动脉剖析.
- 剖析入口主要是在支架移植的近端裸弹.
- 在受影响的患者中,死亡率达到27.3%,大多数患者需要手术转换.
结论:
- 经过B型支架移植后的逆行型A动脉解剖并不是罕见的,它是由动脉壁脆弱性和支架移植相关因素的结合造成的.
- 建议包括避免在Marfan患者中进行大动脉支架移植,使用特定的内移植设计,并改进内血管技术.
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