三分支覆膜支架行主动脉弓重建治疗 Stanford A 型主动脉夹层效果的临床随访_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

杨探 ¹ , 廖斌 ¹ , 兰永树 ² , 付勇 ¹ , 杨帆 ¹ , 刘洪端 ¹ , 白皎 ² ,  于风旭 ¹

1. ;
2. ;

Corresponding author：

于风旭, Email: yuluchuan@163.com

Keywords：

主动脉夹层; Stanford A 型; 三分支覆膜支架; 手术

DOI：

10.7507/1007-4848.201811043

Video：

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目的通过长期随访采用三分支覆膜支架重建主动脉弓治疗 Stanford A 型主动脉夹层患者的临床治疗效果，评价三分支覆膜支架行主动脉弓重建的安全性和可行性。方法纳入 2009 年 3 月至 2014 年 6 月我院心脏大血管外科应用三分支覆膜支架治疗的 Stanford A 型主动脉夹层患者 17 例，其中男 11 例、女 6 例，年龄 35～72 岁。观察其临床疗效及并发症发生率以及术后 CT 随访结果。结果三分支主动脉弓覆膜支架治疗组患者随访期间死亡 1 例。术后不同随访时间 64 排 CT 血管造影结果显示支架血管位置满意，支架打开完全，无扭曲及内漏发生。主动脉各分支血管血流通畅，无狭窄及闭塞。3 个月后随访观察到有 8 例假腔血栓形成闭塞，6 个月后随访观察到所有患者假腔全部血栓闭塞。3 年后随访观察到支架稳定，未发生支架扭曲、变形或者断裂情况，假腔消失。结论三分支覆膜支架重建主动脉弓治疗 A 型主动脉夹层临床效果可靠，值得推广应用。

Citation： 杨探, 廖斌, 兰永树, 付勇, 杨帆, 刘洪端, 白皎, 于风旭. 三分支覆膜支架行主动脉弓重建治疗 Stanford A 型主动脉夹层效果的临床随访. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(9): 933-935. doi: 10.7507/1007-4848.201811043 Copy

1.	Fuster V, Ip JH. Medical aspects of acute aortic dissection. Semin Thorac Cardiovasc Surg, 1991, 3(3): 219-224.
2.	DeSanctis RW, Doroghazi RM, Austen WG, et al. Aortic dissection. N Engl J Med, 1987, 317(17): 1060-1067.
3.	Massimo CG, Presenti LF, Marranci P, et al. Extended and total aortic resection in the surgical treatment of acute type A aortic dissection: experience with 54 patients. Ann Thorac Surg, 1988, 46(4): 420-424.
4.	Ma WG, Zheng J, Dong SB, et al. Sun's procedure of total arch replacement using a tetrafurcated graft with stented elephant trunk implantation: analysis of early outcome in 398 patients with acute type A aortic dissection. Ann Cardiothorac Surg, 2013, 2(5): 621-628.
5.	Lu S, Yang S, Lai H, et al. Open aortic arch reconstruction for acute type a aortic dissection: a single-center experience with 267 consecutive patients. J Cardiothorac Surg, 2016, 11(1): 111.
6.	Angouras D, Sokolis DP, Dosios T, et al. Effect of impaired vasa vasorum flow on the structure and mechanics of the thoracic aorta: implications for the pathogenesis of aortic dissection. Eur J Cardiothorac Surg, 2000, 17(4): 468-473.
7.	Erbel R, Alfonso F, Boileau C, et al. Diagnosis and management of aortic dissection. Eur Heart J, 2001, 22(18): 1642-1681.
8.	De Bakey ME, Crawford ES, Cooley DA, et al. Successful resection of fusiform aneurysm of aortic arch with replacement by homograft. Surg Gynecol Obstet, 1957, 105(6): 657-664.
9.	Inoue K, Hosokawa H, Iwase T, et al. Aortic arch reconstruction by transluminally placed endovascular branched stent graft. Circulation, 1999, 100(Suppl 19): Ⅱ316-Ⅱ321.
10.	Crawford SA, Sanford RM, Forbes TL, et al. Clinical outcomes and material properties of in situ fenestration of endovascular stent grafts. J Vasc Surg, 2016, 64(1): 244-250.
11.	Chen LW, Dai XF, Zhang GC, et al. Total aortic arch reconstruction with open placement of triple-branched stent graft for acute type A dissection. J Thorac Cardiovasc Surg, 2010, 139(6): 1654-1655.
12.	Chen LW, Dai XF, Yang GF, et al. Open-branched stent graft placement makes total arch replacement easier for acute type a aortic dissection. Ann Thorac Surg, 2010, 89(5): 1688-1690.
13.	Zhang Q, Ma X, Zhang W, et al. Surgical repair and reconstruction of aortic arch in debakey type Ⅰ aortic dissection: recent advances and single-center experience in the application of branched stent graft. J Cardiothorac Surg, 2017, 12(1): 86.
14.	Dai XF, Chen LW, Wu XJ, et al. Total aortic arch reconstruction with triple-branched stent graft or hemiarch replacement for acute debakey type I aortic dissection: five-years experience with 93 patients. J Card Surg, 2015, 30(10): 749-755.
15.	方易冰, 于风旭. 三分支主动脉弓覆膜支架在Stanford-A型主动脉夹层手术的应用体会. 西南军医, 2014, 16(1): 37-39.

1. Fuster V, Ip JH. Medical aspects of acute aortic dissection. Semin Thorac Cardiovasc Surg, 1991, 3(3): 219-224.
2. DeSanctis RW, Doroghazi RM, Austen WG, et al. Aortic dissection. N Engl J Med, 1987, 317(17): 1060-1067.
3. Massimo CG, Presenti LF, Marranci P, et al. Extended and total aortic resection in the surgical treatment of acute type A aortic dissection: experience with 54 patients. Ann Thorac Surg, 1988, 46(4): 420-424.
4. Ma WG, Zheng J, Dong SB, et al. Sun's procedure of total arch replacement using a tetrafurcated graft with stented elephant trunk implantation: analysis of early outcome in 398 patients with acute type A aortic dissection. Ann Cardiothorac Surg, 2013, 2(5): 621-628.
5. Lu S, Yang S, Lai H, et al. Open aortic arch reconstruction for acute type a aortic dissection: a single-center experience with 267 consecutive patients. J Cardiothorac Surg, 2016, 11(1): 111.
6. Angouras D, Sokolis DP, Dosios T, et al. Effect of impaired vasa vasorum flow on the structure and mechanics of the thoracic aorta: implications for the pathogenesis of aortic dissection. Eur J Cardiothorac Surg, 2000, 17(4): 468-473.
7. Erbel R, Alfonso F, Boileau C, et al. Diagnosis and management of aortic dissection. Eur Heart J, 2001, 22(18): 1642-1681.
8. De Bakey ME, Crawford ES, Cooley DA, et al. Successful resection of fusiform aneurysm of aortic arch with replacement by homograft. Surg Gynecol Obstet, 1957, 105(6): 657-664.
9. Inoue K, Hosokawa H, Iwase T, et al. Aortic arch reconstruction by transluminally placed endovascular branched stent graft. Circulation, 1999, 100(Suppl 19): Ⅱ316-Ⅱ321.
10. Crawford SA, Sanford RM, Forbes TL, et al. Clinical outcomes and material properties of in situ fenestration of endovascular stent grafts. J Vasc Surg, 2016, 64(1): 244-250.
11. Chen LW, Dai XF, Zhang GC, et al. Total aortic arch reconstruction with open placement of triple-branched stent graft for acute type A dissection. J Thorac Cardiovasc Surg, 2010, 139(6): 1654-1655.
12. Chen LW, Dai XF, Yang GF, et al. Open-branched stent graft placement makes total arch replacement easier for acute type a aortic dissection. Ann Thorac Surg, 2010, 89(5): 1688-1690.
13. Zhang Q, Ma X, Zhang W, et al. Surgical repair and reconstruction of aortic arch in debakey type Ⅰ aortic dissection: recent advances and single-center experience in the application of branched stent graft. J Cardiothorac Surg, 2017, 12(1): 86.
14. Dai XF, Chen LW, Wu XJ, et al. Total aortic arch reconstruction with triple-branched stent graft or hemiarch replacement for acute debakey type I aortic dissection: five-years experience with 93 patients. J Card Surg, 2015, 30(10): 749-755.
15. 方易冰, 于风旭. 三分支主动脉弓覆膜支架在Stanford-A型主动脉夹层手术的应用体会. 西南军医, 2014, 16(1): 37-39.

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三分支覆膜支架行主动脉弓重建治疗 Stanford A 型主动脉夹层效果的临床随访

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