Combined intervention treatment of descending thoracic aortic dissection with coronary heart disease
10.3969/j.issn.1004-8812.2014.08.004
- VernacularTitle:胸降主动脉夹层合并冠心病联合介入治疗的远期疗效
- Author:
Yang GAO
;
Xiaozeng WANG
;
Xin ZHAO
;
Quanmin JIN
;
Haiwei LIU
;
Xiaojiang LIU
;
Xuefeng ZHANG
;
Yaling HAN
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
Coronary heart disease;
Endovascular graft exclusion;
Percutaneous coronary intervention;
Long-term effects
- From:
Chinese Journal of Interventional Cardiology
2014;(8):492-496
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of combination technique in treating descending thoracic aortic dissection with coronary heart disease by endovascular graft exclusion (EVGE) and percutaneous coronary intervention(PCI). Methods From April, 2002 to October, 2013, a total of 40 in-hospital patients with descending thoracic aortic dissection and coronary heart disease who underwent EVGE and PCI were analyzed for outcomes. All patients were performed EVGE before they underwent PCI in 3~7days of time. Long-term treatment were observed. Results For dissection tears, 40 trunk tectorial membrane stents were used. The rate of success of EVGE implantation was 100%. No paraplegia, death and other complications. 59 stents were placed to 54 target vessels of 40 patients. The success rate of PCI procedure was 100%and no severe complication occurred. All patients were followed up for average 56±31 months. The rate of followed up was 92.5%(37/40). During follow-up, 3 patients died including two patients died of cerebral hemorrhage and one case of malignant tumor. The major adverse cardiac events (MACE) rate was 6.9% in the 29 cases of patients who underwent EVGE and PCI during the clinical follow-up. Conclusions It is safe and feasible that treating descending thoracic aortic dissection with coronary heart disease by combination technique of EVGE and PCI.
