Endovascular isolation of proximal aortic intimal rupture for the treatment of type A aortic intramural hematoma with pericardial effusion:observation of short-term efficacy
10.3969/j.issn.1008-794X.2024.08.005
- VernacularTitle:主动脉近端破口腔内隔绝术治疗A型主动脉壁内血肿伴心包积液近期效果观察
- Author:
Shengkang ZHANG
1
;
Xiaoqing YIN
;
Zhaojun XU
;
Zhaoli WANG
;
Jin YANG
;
Yu CHENG
Author Information
1. 410007 湖南长沙 湖南中医药大学第一附属医院心胸外科
- Keywords:
aortic intramural hematoma;
endovascular isolation;
conservative treatment;
pericardial effusion
- From:
Journal of Interventional Radiology
2024;33(8):839-843
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the short-term efficacy of endovascular isolation treatment for type A aortic intramural hematoma(AIH)with pericardial effusion,and to discuss the endovascular isolation treatment strategy for type A AIH with pericardial effusion.Methods A total of 12 patients with type A AIH complicated by pericardial effusion,who were admitted to the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine of China between February 2018 and November 2021,were enrolled in this study.Before surgery,the intima of the ascending aorta was intact in all patients,but a rupture at the proximal intima of the aortic arch or the thoracic descending aorta was detected.All patients received endovascular isolation treatment.Among them,4 patients received endovascular isolation treatment within one week after the onset of disease,and 8 patients received selective operation after receiving conservative treatment for one week.The patients were followed up for one year.Results Among the patients who received endovascular isolation treatment within one week after the onset of disease,one patient recovered smoothly,two patients developed type A dissection within 3 months after surgery,and one died early after surgery.All the 8 patients,who received selective operation after receiving conservative treatment for one week,recovered smoothly.Conclusion For patients with type A AIH complicated by mild to moderate pericardial effusion,selective endovascular isolation treatment after receiving the conservative treatment to alleviate the ascending aortic hematoma can achieve ideal therapeutic effect.
