Management of complications after endovascular repair for De Bakey type Ⅲ aortic dissection

VernacularTitle:DeBakeyⅢ型主动脉夹层腔内修复治疗并发症的处理与分析
Author: Sha LIU ; Jidong LIU ; Xinming ZHAI ; Genxing XU ; Song XUE
Publication Type:Journal Article
Keywords: Aortic dissection; Endovascular repair; Complication
From: Clinical Medicine of China 2011;27(12):1240-1243
CountryChina
Language:Chinese
Abstract: Objective To summarize the experience in endovascular repair of De Bakey type Ⅲ aortic dissection in recent years and summarize the prevention and management of the related perioperative complications.Methods From January 2009 to January 2011,49 cases of endovascular repair for De Bakey type Ⅲ aortic dissection were performed under general anesthesia in our department.There were 45 male and 4 female.The follow-up was performed in the outpatient department or by telephone.Results There was no inhospital death and no paraplegia events.Severe complication included:coma,2 cases ( 4.1％ ) ; endoleak,2 cases (4.1％ ) ; upper limb ischemia,2 cases (4.1％ ).Recurrent proximal aortic dissection,1 case.Fever was occurred in most of those cases.Conclusion Endovascular repair of aortic dissection improves the outcome of aortic dissection patients.But more attention should be pay to prevent the severe complications,It will help to improve the prognosis and life quality by reducing the risk of retrograde dissection,acute brain ischemia and endoleak.