Clinical Efficacy of Thoracic Endovascular Aortic Repair for Treating the Patients With Complicated Thoracic Aortic Dissection
10.3969/j.issn.1000-3614.2016.08.015
- VernacularTitle:胸主动脉腔内修复术治疗复杂性胸主动脉夹层的临床疗效
- Author:
Shuibo ZHU
;
Jian ZHU
;
Erping XI
;
Yu ZHANG
;
Zizi ZHOU
;
Guihua XU
;
Xuemei LI
- Publication Type:Journal Article
- Keywords:
Aortic Aneurysm,Thoracic;
Endovascular operation;
Hybrid procedures
- From:
Chinese Circulation Journal
2016;31(8):789-792
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the clinical efifcacy of thoracic endovascular aortic repair (TEVAR) for treating the patients with complicated thoracic aortic dissection and to report the relevant clinical experiences. Methods: We retrospectively analyzed the records of 56 patients with complicated thoracic aortic dissection who received the operation of TEVAR in our hospital from 2011-02 to 2015-10 in order to analyze their operation methods with reasons. Results: There were 21 patients with complex anatomic conditions for aortic arch, 7 of them received TEVAR and 14 received TEVAR with covered left subclavian artery; 16 patients with complex shape of aortic dissection, 5 of them received TEVAR and 11 received TEVAR with covered left subclavian artery; 19 patients with aortic dissection involving aortic arch, 17 of them received hybrid procedures of aortic arch branch bypass surgery + TEVAR and 2 received TEVAR with fenestrated stent grafts. All operations were successful and no severe complications occurred. Conclusion: TEVAR is a fast and effective method for treating complicated thoracic aortic dissection, which may expand the application ranges as covering left subclavian artery, branch vessel bypass and modiifed stent grafting.
