【摘要】 目的探讨血管腔内隔绝术治疗降主动脉夹层动脉瘤的方法和疗效。方法DeBakeyⅢ型主动脉夹层患者8例,进行血管腔内隔绝术(其中2例为DeBakeyⅢa型,6例为DeBakeyⅢb型)。结果8例均成功行血管腔内隔绝术,出现I型内漏4例,经球囊扩张后2例内漏消失,2例仍有少量内漏。进行22～36个月的临床随访。1例于术后23个月死于颅内出血,余7例均存活。结论血管腔内置入带膜支架型人工血管是治疗主动脉夹层动脉瘤简便、安全、有效的方法。更多还原

【Abstract】 Objective To study the techniques and therapeutic effects of endovascular stent-graft exclusion in descending aortic dissection. Methods 8 patients with DeBakeyⅢ aortic dissection were analysed,including DeBakeyⅢa dissection 2 cases, and DeBakeyⅢb dissection 6 cases. Results 8 cases successfully finished endovascular exclusion (EVE). Typer I endoleakage was found in 4 patients, disappeared after PTA in 2 patients, still slightly presenting in 2 patients .During the follow-up of 22-36 months,except 1 patient died of intracranial hemorrhage, others survived well. Conclusion Endovascular exclusion is simple, safe and effective in treating aortic dissection.更多还原