Hybrid operation for the treatment of Stanford type B aortic dissection
10.3969/j.issn.1008-794X.2015.10.016
- VernacularTitle:复合手术治疗Stanford B型胸主动脉夹层
- Author:
Danghui LU
;
Shuiting ZHAI
;
Tianxiao LI
;
Guoquan WANG
;
Zhidong ZHANG
;
Shaocheng ZHU
;
Kai LIAN
;
Kewei ZHANG
;
Kun LI
;
Xiaoyang FU
;
Weixiao LI
- Publication Type:Journal Article
- Keywords:
aortic dissection;
hybrid operation;
complication
- From:
Journal of Interventional Radiology
2015;(10):897-901
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of hybrid operation in treating Stanford type B aortic dissection. Methods During the period from January 2011 to December 2013, hybrid operation was performed in 33 patients with complex Stanford type B aortic arch dissection. The patients included 28 males and 5 females with a average age of (50±12) years. The clinical effect and the complications, occurring in perioperative period and in 24-month follow-up period, were analyzed. Results The operation was successfully accomplished in all 33 patients, with a technical success rate of 100%. The average hospitali-zation time was 20 days. After the operation, 29 cases were followed up for 3-34 months and 4 cases were lost to follow up, the following-up rate was 87.9%. In 21 cases, the following-up time was over 12 months. Postoperative angiography showed that there was no typeⅠendoleak; complications included pulmonary infection (n=1), strokes (n=1), reversible abnormal renal function (n=6) and retrograde aortic arch dissection (n=1). No paraplegia occurred. During hospitalization time, two cases died, the mortality was 6.06%. During the following-up time, graft infection occurred in one case and continued presence of retrograde aortic arch dissection was observed in one case. Conclusion The complication occurrence after hybrid operation for Stanford type B aortic dissections is low. The hybrid technique is very safe and feasible, but several serious postoperative complications should not be ignored. The long-term effectiveness needs to be further clarified by systemic and large sample studies.
