Experience in the treatment of delirium after endovascular aneurysm repair in patients with Stanford type B aortic dissection
10.3760/cma.j.cn431274-20250707-00899
- VernacularTitle:Standford B型主动脉夹层患者腔内隔绝术后发生谵妄的治疗体会
- Author:
Yongtao FENG
1
;
Dongcheng ZHANG
1
Author Information
1. 广州医科大学附属第二医院心外科，广州 510000
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
Intracavity isolation;
Delirium
- From:
Journal of Chinese Physician
2025;27(8):1135-1137
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the occurrence of delirium after endovascular aneurysm repair (EVAR) in patients with Stanford Type B aortic dissection and the corresponding management measures.Methods:A retrospective analysis was performed on 60 patients with Stanford type B aortic dissection who underwent EVAR in the Second Affiliated Hospital of Guangzhou Medical University from January 2022 to March 2025, including 52 males and 8 females, aged 24-84(60.6±11.4)years. The clinical data of cases with postoperative delirium were summarized.Results:Using the delirium assessment criteria recommended by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, the incidence of postoperative delirium in this group was 21.7%(13/60). Among them, 6 cases had severe manic symptoms, requiring delayed extubation for 1-3 days. After personalized treatment, all patients showed significant improvement in delirium and were discharged smoothly after recovery.Conclusions:Delirium after EVAR in patients with Stanford type B aortic dissection is related to perioperative psychological factors, hypoxemia, hypertension, and drugs. It is suggested that corresponding preventive measures should be taken before surgery and active comprehensive treatment should be implemented after surgery.
