Endovascular repair techniques for the treatment of Stanford Type A aortic dissection involving ascending aorta

VernacularTitle:腔内隔绝术在累及升主动脉夹层中的应用及疗效评估
Author: Xuemin ZHANG ; Tao ZHANG ; Xiaoming ZHANG
Publication Type:Journal Article
Keywords: Aortic diseases; Angioplasty; Stents
From: Chinese Journal of General Surgery 2016;31(2):130-133
CountryChina
Language:Chinese
Abstract: Objective To evaluate thoracic endovascular repair (TEAVR) techniques for the treatment of Stanford type A aortic dissection involving ascending aorta.Methods From Jan 2010 to Aug 2015,seven type A aortic dissection patients with the primary entry tear next to the orifice of left subclavian artery were treated with endovascular repair.Results Stents (6 COOK Corp,1 YouYan Corp.) were deployed through femoral artery in 6 patients and through peritoneal right common iliac artery in 1 case.Entries were through incised carotid artery in 2 cases and punctured from carotid artery by PER-CLOSE designer (Abbott Corp.) in 5 cases.One died of Type 1 endoleak.6 patients were followed up from 1 to 28 months.One suffered from severe MODS complications and died after 6 months.During the follow-up period,all the stents were patent and there was no migration.The true lumen increased significantly and the false lumen shrank gradually.Conclusions Endovascular aortic repair is a safe and effective method for Stanford Type A aortic dissection involving ascending aorta in selected cases.