Management of thoracoabdominal aortic aneurysm: experiences in 39 cases
10.3760/cma.j.cn113855-20201201-00896
- VernacularTitle:胸腹主动脉瘤39例诊治经验
- Author:
Chao QU
1
;
Xiangchen DAI
;
Jiaxue BI
;
Fang NIU
Author Information
1. 天津医科大学总医院血管外科 300052
- Keywords:
Aortic aneurysm,thoracic;
Aortic aneurysm,abdominal;
Surgical procedures, operative
- From:
Chinese Journal of General Surgery
2021;36(6):451-456
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy and safety of different treatment methods for thoracoabdominal aortic aneurysm(TAAA).Methods:The clinical data of 39 TAAA patients admitted to our department from Jan 2010 to Feb 2018 were retrospectively analyzed.Results:There were 25 patients in endovascular group, 11 in open group and 3 in hybrid group. The mean age in the endovascular group was significantly higher than that in the open group ( P<0.05). The blood loss and operation time in the endovascular group were significantly lower than those in the open group and the hybrid group ( P<0.05). There was no significant difference in the operation success rate, the complication rate in post-operative 30 days and the rate of re-intervention ( P>0.05) among the three groups. The post-operative 30 days mortality was significantly higher in the hybrid group than that in the endovascular group and open group ( P<0.05). During the follow-up period, the complication rate in the endovascular group was significantly higher than that in the open group ( P<0.05). Conclusion:Endovascular surgery is more suitable for elderly patients because of shorter operation time, less trauma and bleeding.
