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find Author "成青鉴" 3 results
  • 覆膜支架治疗难治性股动脉假性动脉瘤的探讨

    目的探讨覆膜支架置入治疗难治性股动脉假性动脉瘤的有效性及其安全性。方法2012 年 8 月至 2017 年 8 月期间,河西学院附属张掖人民医院血管外科共收治了 26 例难治性股动脉假性动脉瘤患者,其中属外伤性股动脉假性动脉瘤 20 例,医源性股动脉假性动脉瘤 6 例;26 例中有 8 例合并股动-静脉瘘。26 例患者术前全部经彩超检查得以确诊,并在彩超引导下进行常规压迫或瘤腔内注射血凝酶治疗,但均未获成功,26 例患者最终改行股动脉覆膜支架置入术治疗,其中 4 例同期行血肿清除术,2 例行假性动脉瘤腔内穿刺引流术。结果全部患者一期置入覆膜支架均获成功,股动脉假性动脉瘤及动-静脉瘘均治愈,6 例患者股深动脉封闭,无手术死亡及严重并发症发生。术后 6 个月及 12 个月进行随访,26 例患者均无瘤体复发及支架移位、断裂、栓塞和内瘘发生。结论覆膜支架置入治疗难治性股动脉假性动脉瘤是安全、有效、微创的方法,其短期效果满意,远期疗效有待进一步观察。

    Release date:2019-06-26 03:20 Export PDF Favorites Scan
  • Intracavitary isolation in the treatment of Stanford type A aortic dissection

    ObjectiveTo explore the effect of using a stent graft to treat a Stanford type A aortic dissection with the ascending aorta in the cavity.MethodA retrospective review was made of the clinical data of a patient with Stanford type A aortic dissection admitted to Zhangye People’s Hospital Affiliated to Hexi University in December 2016.ResultsAfter the patient underwent general anesthesia aortic dissection and stent graft treatment, the dissection fracture completely disappeared. After 2 years of follow-up, the patient’s pseudocavity hematoma was completely absorbed. The operative time was 30 min and the blood loss was about 5 mL. There were no complications such as avulsion of dissection, internal leakage, cerebral infarction, myocardial infarction, nervous system, and other complications occurred.ConclusionFor Stanford type A aortic dissection with a tear located in the ascending aorta, intracavitary treatment with coated stent is feasible for ascending aortic dissection with good vascular conditions and tear location through accurate preoperative assessment.

    Release date:2020-07-01 01:12 Export PDF Favorites Scan
  • 体内原位开窗联合腔内隔绝治疗主动脉弓动脉瘤合并Stanford B型主动脉夹层1例报道

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