Endovascular stent-grafts for acute Stanford type B aortic dissection
10.3760/cma.j.issn.1007-631X.2010.03.015
- VernacularTitle:Stanford B型主动脉夹层发病24h内腔内修复术30例
- Author:
Jingdong TANG
;
Junfeng HUANG
;
Keqiang ZUO
;
Zhenyu QIAN
;
Wenzhao HANG
;
Kai GONG
;
Daojing HUANG
;
Chunhong WU
;
Wenyan ZHANG
;
Mingfeng YANG
;
Zaiping JING
;
Yuqi WANG
- Publication Type:Journal Article
- Keywords:
Aneurysm,dissecting;
Stents;
Acute phase
- From:
Chinese Journal of General Surgery
2010;25(3):221-223
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the results of emergency endovascular stent-grafting for patients with acute Stanford type B aortic dissection(type B AAD)within 24 hours of onset.Methods Between June 2007 and October 2008,30 patients with acute type B aortic dissection underwent emergency endOVascular stent-grafting within 24 hours of presentation.Under general anesthesia,stent-graft was deploved at the proper position of first tear entry through femoral artery under X-ray monitering.Follow-up by CT was performed 1 w,1 m ,3 m,6 m,1 y postoperatively to observe the efficacy and complications such as endoleak,migration and fracture of stent-graft. Result The technical success rate was 100%;13.4%(4 cases) endoleak rate was identified immediately after deployment.Follow up was made between 1 month to 19 months,averaging at(12±8)months,3.3%type-1 endoleak Was observed after 6 months;One patient died within 30 days possibly of dissection rupture;One patient died of acute liver failure during the follow-up. Conclusion Endovascular repair with stent-graft within 24 hours of presentation was effectivefor the treatment of acute type B aortic dissection.
