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微创外科治疗升、降主动脉和弓部疾病的探讨
Treating disorders of the ascending, descending aorta and arch with minimally invasive surgery
【摘要】 目的:探讨大动脉疾病的微创治疗。方法:以腔内移植物或开窗法治疗全主动脉夹层动脉瘤3例、主动脉弓部动脉瘤、主动脉减速伤和弓降部动脉瘤各1例。结果:治疗均获成功。随访12~30个月,无一例发生远期内漏、移植物移位和其他它并发症。结论:微创法为高风险的大动脉病提供了良好的前景。
【Abstract】 Objective To explore the feasibility of minimally invasive procedure to treat disorders occurring in the ascending aorta, arch and descending aorta. Methods Endografts (n=5) and fenestration (n=1) were used to treat total aortic dissection in 3 cases and aneurysm of the arch, isthmus, and deceleration aortic injury each occurred in one case via femoral or external iliac arterial approach. Results All patients were successfully treated. After follow-up of 12 - 30 months all patients were well alive, no late endoleak, migration of endograft or other complications occurred. Conclusion Endografting technique to treat high risky disorders of the great vessels is feasible in some cases and seems to have a prospective future.
【Key words】 Dissecting aneurysm; Endograft; Aortic deceleration injury;
- 【文献出处】 外科理论与实践 ,Journal of Surgery Concepts & Practice , 编辑部邮箱 ,2004年01期
- 【分类号】R654.3
- 【被引频次】6
- 【下载频次】59