Surgical strategy of aortic dissection involving aortic arch
10.3760/cma.j.jssn.1673-4904.2017.03.008
- VernacularTitle:累及主动脉弓部的主动脉夹层手术策略分析
- Author:
Yong ZHANG
;
Jiali LIANG
;
Zhe YANG
;
Hui WANG
- Keywords:
Aneurysm;
dissecting;
Aorta;
thoracic;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(3):218-221
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the advantages and disadvantages of various methods for the treatment of aortic dissection involving aortic arch. Methods The clinical data of 56 patients with aortic dissection involving aortic arch were analyzed retrospectively. All the patients were treated with throacic endovascular aortic repair (TEVAR) combined with chimney technique and hybrid operation to reconstruct partial vessels of the aortic arch according to the different morphology sites of aortic disease. Results Among 56 patients, 29 cases received TEVAR combined with chimney technique of left subclavian artery, and 27 cases received TEVAR combined with hybrid operation. Six cases had typeⅠendoleak. Among them, 2 cases improved by compliant balloon dilatation, and 4 cases were not treated. There was no death in perioperative period. The patients were followed up for 3-70 (22 ± 3) months, and all the branches of the artery were unobstructed during middle and long term follow-up. Conclusions Combined endovascular treatment is a safe and effective method for aortic dissection involving the aortic arch. In the meantime, strict preoperative evaluation and suitable operation method is also important.
