Diagnosis and treatment of aortic dissection combined with chronic renal failure
- VernacularTitle:慢性肾衰竭患者合并主动脉夹层的诊治
- Author:
Min LI
;
Zhi ZHENG
;
Youmin PAN
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
Chronic renal failure;
Diagnosis;
Treatment
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(z1):58-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnosis and treatment of aortic dissection combined with chronic renal failure.Methods Ten cases were retrospectively analyzed who were diagnosed as aortic dissection combined with chronic renal failure between January 2012 and December 2014.The history of chronic renal failure was 1-6 years.According to Standford classification,one case was type A dissection and the other nine were type B.Results Seven type B dissection had endovascular stent implantation.Perioperative renal function monitor and hemodialysis was given.The other two patients with type B dissection had conservative treatment.One patient with type A dissection died in the day of diagnosis.Follow-up data showed seven patients with stent implantation were in good condition and two others with conservative treatment died due to dissection rupture three and eight months after diagnosis respectively.Conclusions The mortality of aortic dissection combined with chronic renal failure is high.For Standford B dissection,endovascular stent implantation is a reliable treatment method.
