Outcome of endovascular aortic repair under digital subtraction angiography in the treatment of Stanford type B aortic dissection
- VernacularTitle:数字减影血管造影下腔内隔绝术治疗Stanford B型主动脉夹层的效果
- Author:
Jian-qiang WU
1
;
Zheng WANG
1
;
Zhi WEN
1
;
Ming-wu TIAN
1
;
Jing LYU
1
;
Chang-xue WU
1
Author Information
- Publication Type:Journal Article
- Keywords: digital subtraction angiography; endovascular aortic repair; Stanford type B aortic dissection; best medication treat; inflammatory response; curative effect
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(1):28-32
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the outcome of endovascular aortic repair under digital subtraction angiography (DSA) in the treatment of Stanford type B aortic dissection (TBAD). Methods A total of 104 TBAD patients admitted to our hospital from October 2019 to October 2022 were selected,of which 52 patients treated with best medication treat (BMT) were included into the BMT group,and 52 patients who underwent endovascular aortic repair under DSA on the basis of BMT were included into the combination group. The acute physiological and chronic health evaluation Ⅱ (APACHE Ⅱ) score,serum inflammatory indicators,liver and kidney function indicators,and coagulation function indicators before and after treatment,and hospital stay were compared between the two groups. Results The APACHE Ⅱ score,liver and kidney function indicators and inflammatory factors after treatment in the combination group were lower than those before treatment and in the BMT group (P<0.05). The combination group had more significant changes of coagulation function indicators after treatment than those before treatment and in the BMT group (P<0.05). The hospital stay of the combination group was shorter than that of the BMT group (P<0.05). Conclusion Endovascular aortic repair under DSA for TBAD can reduce inflammatory response,improve liver and kidney functions and coagulation function,and shorten the hospital stay,which has a better therapeutic effect than conservative drug treatment.
