Clinical application and efficacy analysis of castor stent graft in the treatment of aortic diseases
10.3760/cma.j.cn112434-20230627-00129
- VernacularTitle:Castor支架在主动脉病变中的临床应用及疗效分析
- Author:
Jiaxiang ZHUANG
1
;
Ren WANG
;
Xianlu MA
;
Qi XIE
;
Zhi DOU
;
Fuzhen ZHENG
;
Haiyu CHEN
;
Yuanxiang CHEN
;
Licheng YAN
;
Hongjie ZHOU
Author Information
1. 福建医科大学省立临床医学院 福建省立医院心血管外科，福州 350001
- Keywords:
Castor stent graft;
Aortic diseases;
Clinical application;
Efficacy analysis
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(2):79-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the use of Castor stent graft in aortic diseases and to analyze their efficacy.Methods:The clinical data of patients with aortic diseases treated with Castor stent graft from November 2017 to August 2022 in Fujian Provincial Hospital were collected and divided into branched stent group and branched stent co-operative group according to the operation method, and the clinical data of both groups were summarized.Results:A total of 75 cases of aortic disease were treated with Castor stents, and finally 53 cases were classified as branched stent group and 22 cases as branched stent co-operative group. The operations in both groups were successful. The median operative time in the branched stent group was 120(100, 160)min, and the median postoperative hospital stay was 7.0(5.5, 10.5)days.There was no postoperative ischemic stroke, no spinal cord ischemia. One case of new aortic dissection occurred. During follow-up, there was one lost case and two deaths, and the rest did not have endoleak, branch stent stenosis, ischemic stroke or re-intervention. In the branched stent co-operative group, there was one postoperative ischemic stroke, one case of slight stenosis of the left subclavian artery stent during follow-up, the remaining cases had satisfactory postoperative outcomes.Conclusion:Castor stent graft is a safe and effective procedure in the treatment of aortic diseases. And Castor stent graft can be used in combination with other endovascular repair techniques in the treatment of complex aortic diseases, with safe and reliable postoperative outcomes.
