DeBakey Ⅲ dissecting aneurysm treated by way of aortic isolation
10.3760/cma.j.issn.1008-6315.2009.08.026
- VernacularTitle:动脉腔内隔绝术治疗DeBakeyⅢ型主动脉夹层
- Author:
Wenfeng CAO
;
Yifei DONG
;
Shuqiang DONG
;
Qingxin LI
;
Huawei SU
;
Lixia MIAO
- Publication Type:Journal Article
- Keywords:
Dissecting aneurysm;
Stents;
Isolation
- From:
Clinical Medicine of China
2009;25(8):846-847
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the technical skill and therapeutic effect of aortic isolation for treating DeBakey Ⅲ dissecting aneurysm.Methods Among 20 cases of DeBakey Ⅲ dissecting aneurysm,7 cases were with DeBakey Ⅲ a and 13 cases were with DeBakey Ⅲb.Imaging examinatin showed that among the 20 cases there were 5 cases with more than two tearings at difreret site.Covered stent was used to close left subclavian artery in 7 cases and distaI aortic isolation of left subclavian artery was conducted in other 13 cases.Restuls All cases were followed up for 3-40 months,finding that 19 cases survived but one case died because of pseudocoele bronchial fistula hemoptysis 18 months later.Conclusions Endovasular covered stent grafts is the simple,safe and effective way to treat dissecting aneurysm.
