Clinical analysis of endovascular graft exclusion for 46 patients with Stanford type B aortic dissection

VernacularTitle:腔内隔绝术治疗Stanford B型主动脉夹层46例临床分析
Author: Weiguo JIN ; Shichun LU ; Min YANG ; Wei WANG ; Jidan FAN
Publication Type:Journal Article
Keywords: Aneurysm,dissecting; Stents; Endovascular graft exclusion
From: Chinese Journal of Postgraduates of Medicine 2014;37(2):29-31
CountryChina
Language:Chinese
Abstract: Objective To analysis the efficacy and safety of endovascular graft exclusion for patients with Stanford type B aortic dissection.Methods The clinical data of 46 patients with Stanford type B aortic dissection who received endovascular graft exclusion were analyzed retrospectively.The stents were inserted from the femoral artery to exclude the tear of dissection,and all operation were peformed under digital subtraction angiography (DSA).The operative technique,outcome and complications were observed.Results The stents were successfully performed in all patients.The length of stay in hospital time after operation was 5-20 (12.9 ± 3.4) d.Endo-leak occurred in 2 patients and relieved after re-expanding.Followed up for 2 d to 5.1 years,average 36 months,1 patient got lacunar infarction and 1 patient died after leaving hospital 2 d.The others were free from the serious complications such as aortic dissection and paraplegia.Conclusion Endovascular graft exclusion is safe and effective for the treatment of Stanford type B aortic dissection in hospital and mid-term,and can significantly improve the survival rate and quality of life.