Observation on early clinical results of one stage whole-course repair of acute aortic dissection
10.3760/cma.j.cn112434-20240516-00137
- VernacularTitle:急性主动脉夹层一期全程修复的早期临床结果观察
- Author:
Huanyu QIAO
1
;
Shouming LI
;
Chen ZHANG
;
Xiaohai MA
;
Yongmin LIU
Author Information
1. 首都医科大学附属北京安贞医院主动脉外科中心，北京 100029
- Keywords:
Aortic endovascular remodeling device;
Acute aortic dissection;
Single-stage complete repair
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(6):335-338
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize and analyze the early clinical outcomes of aortic endovascular remodeling device (AERD) for single-stage complete repair of acute aortic dissection.Methods:A total of 19 patients with acute aortic dissection who underwent proximal aortic dissection repair combined with distal AERD implantation at the Center for Aortic Surgery of Beijing Anzhen Hospital, Capital Medical University between May 2023 and October 2023, of whom 6 had type A aortic dissection and 13 had type B aortic dissection, were retrospectively analyzed. One-month postoperative follow-up and aortic CTA were completed to compare pre- and postoperative abdominal branch outcomes and aortic wall remodeling.Results:The success rate of AERD implantation in this patient cohort was 100%, and no complications such as paraplegia or visceral ischemia were observed during the perioperative and postoperative follow-up periods. All abdominal branches were patent postoperatively, and 15 branches had preoperative " high-risk" subtype malperfusion, 14 of which improved postoperatively. All patients showed significant increase of the true lumen volume compared with the preoperative one, and 89.5% (17/19) had a postoperative true lumen/overall volume ratio of more than 70%.Conclusion:The single-stage complete repair of proximal aortic dissection repair combined with distal AERD implantation is simple, safe and effective, associated with satisfactory early outcomes.
