腔内治疗3级钝性外伤后胸主动脉扩张性疾病的中期随访结果

R543.1+5; 目的:探讨采用胸主动脉腔内修复术(thoracic endovascular aortic repair,TEVAR)治疗胸主动脉钝性创伤(blunt thoracic aortic injurie,BTAI)的中期随访结果,并基于断层扫描血管造影(computed tomography angiography,CTA)结果分析术后主动脉扩张情况.方法:选取2008年7月至2015年6月复旦大学附属中山医院收治的BTAI患者28例.根据BTAIs分级,钝性外伤后胸主动脉瘤及胸主动脉夹层归为3级,中位随访时间51.5个月.研究终点为生存、再干预、支架移植物相关并发症发生或TE...

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Published in中国临床医学 Vol. 28; no. 2; pp. 204 - 209
Main Authors 李旭, 张婉, 丁勇, 周旻, 史振宇
Format Journal Article
LanguageChinese
Published 复旦大学附属中山医院血管外科,上海200032%复旦大学附属华东医院血管外科,上海200040 01.04.2021
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ISSN1008-6358
DOI10.12025/j.issn.1008-6358.2021.20202698

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Abstract R543.1+5; 目的:探讨采用胸主动脉腔内修复术(thoracic endovascular aortic repair,TEVAR)治疗胸主动脉钝性创伤(blunt thoracic aortic injurie,BTAI)的中期随访结果,并基于断层扫描血管造影(computed tomography angiography,CTA)结果分析术后主动脉扩张情况.方法:选取2008年7月至2015年6月复旦大学附属中山医院收治的BTAI患者28例.根据BTAIs分级,钝性外伤后胸主动脉瘤及胸主动脉夹层归为3级,中位随访时间51.5个月.研究终点为生存、再干预、支架移植物相关并发症发生或TEVAR术后主动脉重构及扩张.术后在主动脉的不同层面测量主动脉最大径,并与术前进行对比.结果:28例患者中,25例为钝性外伤后胸主动脉瘤,3例为钝性外伤后胸主动脉夹层.男性19例,女性9例.平均年龄(47.0±13.7)岁.患者从受伤到接受TEVAR治疗的中位时间为8d,技术成功率为100% (28/28),临床成功率为96.4% (27/28).1例患者在接受TEVAR1周后死于肺栓塞,余27例均纳入随访且随访期间无死亡.随访期间,未发生卒中、内漏等并发症,CTA发现鸟嘴综合征12例、左锁骨下动脉狭窄或闭塞4例,但不须再干预,所有患者主动脉重构良好.在肺动脉分叉处升主动脉、肺动脉分叉处降主动脉和主动脉分叉处,观察到主动脉扩张,但差异无统计学意义,且扩张程度与并发症无关.结论:TEVAR对BTAI所致胸主动脉假性动脉瘤及主动脉夹层安全有效.
AbstractList R543.1+5; 目的:探讨采用胸主动脉腔内修复术(thoracic endovascular aortic repair,TEVAR)治疗胸主动脉钝性创伤(blunt thoracic aortic injurie,BTAI)的中期随访结果,并基于断层扫描血管造影(computed tomography angiography,CTA)结果分析术后主动脉扩张情况.方法:选取2008年7月至2015年6月复旦大学附属中山医院收治的BTAI患者28例.根据BTAIs分级,钝性外伤后胸主动脉瘤及胸主动脉夹层归为3级,中位随访时间51.5个月.研究终点为生存、再干预、支架移植物相关并发症发生或TEVAR术后主动脉重构及扩张.术后在主动脉的不同层面测量主动脉最大径,并与术前进行对比.结果:28例患者中,25例为钝性外伤后胸主动脉瘤,3例为钝性外伤后胸主动脉夹层.男性19例,女性9例.平均年龄(47.0±13.7)岁.患者从受伤到接受TEVAR治疗的中位时间为8d,技术成功率为100% (28/28),临床成功率为96.4% (27/28).1例患者在接受TEVAR1周后死于肺栓塞,余27例均纳入随访且随访期间无死亡.随访期间,未发生卒中、内漏等并发症,CTA发现鸟嘴综合征12例、左锁骨下动脉狭窄或闭塞4例,但不须再干预,所有患者主动脉重构良好.在肺动脉分叉处升主动脉、肺动脉分叉处降主动脉和主动脉分叉处,观察到主动脉扩张,但差异无统计学意义,且扩张程度与并发症无关.结论:TEVAR对BTAI所致胸主动脉假性动脉瘤及主动脉夹层安全有效.
Author 周旻
张婉
李旭
史振宇
丁勇
AuthorAffiliation 复旦大学附属中山医院血管外科,上海200032%复旦大学附属华东医院血管外科,上海200040
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ZHOU Min
ZHANG Wan
SHI Zhen-yu
DING Yong
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Keywords 胸主动脉钝性创伤
主动脉夹层
胸主动脉腔内修复术
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Title 腔内治疗3级钝性外伤后胸主动脉扩张性疾病的中期随访结果
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