Review and clinical experience of 101 cases of endovascular placement of stent-grafts
10.3760/cma.j.issn.1001-4497.2014.12.007
- VernacularTitle:101例主动脉腔内修复术的临床体会
- Author:
Zonghong LIU
;
Bo SUN
;
Dongyun QIU
;
Hongyu LIU
- Publication Type:Journal Article
- Keywords:
Aortic diseases;
Stent;
Thoracic endovascular repair
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2014;30(12):730-732
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience and significance of 101 cases of thoracic endovascular aortic repair(TEVAR).Methods From October 2008 to August 2013,101 patients received endovascular repair.Among the cases,81 patients were male,and 20 were female.Before operation,all patients underwent thoracoabdominal aortic CTA examination,there were 5 cases of traumatic aortic diseases,10 cases of severe aortic penetrating ulcer,86 cases of Stanford type B aortic dissection.All patients follow up with CTA 1 weeks,3 months,half a year,and annually postoperatively.Postoperative complications,efficacy,morphology and its vascular stent were observed.Results All cases received TEVAR,there were 90 cases of simple repair of aortic lumen (89.11％),11 cases of brachiocephalic vessels bypass (10.89％),2 cases of death (1.98％),1 case of type Ⅰ endoleak(0.99％),3 cases of the application of lumbar cistern drainage(2.97％),1 case of severe stress ulcer(0.99％),1 patient died after surgery with paraplegia,acute renal failure,stroke,lower limb artery embolization,dissection rupture.Conclusion Thoracic endovascular aortic repair has obvious advantage,risks and complications incidence of preoperative period is low,the technology is worth popularizing widely,but needed to pay attention to strictly control the indications of operation and ensure the brain blood supply.
