中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
32期
18-21
,共4页
主动脉缩窄%支架%支架置入术
主動脈縮窄%支架%支架置入術
주동맥축착%지가%지가치입술
Aortic coarctation%Stents%Stent implantation
目的 探讨Cheatham-Platinum(CP)覆膜支架治疗主动脉缩窄的安全性及疗效.方法 回顾性分析15例主动脉缩窄患者行BIB球囊扩张术和CP覆膜支架置入术的治疗效果.结果 所有患者术后恢复较好,未出现支架移位、打折以及主动脉夹层和破裂.术后检查缩窄段近远端动脉压差缩小为5~10 mm Hg(1 mm Hg=0.133 kPa).随访(20±12)个月,患者一般情况恢复较好,支架位置、形态良好,主动脉未见缩窄,血压均恢复正常,复查CTA示异常侧支循环消失,合并动脉导管未闭患者术后复查心脏超声示动脉导管闭合良好.结论 CP覆膜支架治疗主动脉缩窄是安全、可行、创伤小的方法.
目的 探討Cheatham-Platinum(CP)覆膜支架治療主動脈縮窄的安全性及療效.方法 迴顧性分析15例主動脈縮窄患者行BIB毬囊擴張術和CP覆膜支架置入術的治療效果.結果 所有患者術後恢複較好,未齣現支架移位、打摺以及主動脈夾層和破裂.術後檢查縮窄段近遠耑動脈壓差縮小為5~10 mm Hg(1 mm Hg=0.133 kPa).隨訪(20±12)箇月,患者一般情況恢複較好,支架位置、形態良好,主動脈未見縮窄,血壓均恢複正常,複查CTA示異常側支循環消失,閤併動脈導管未閉患者術後複查心髒超聲示動脈導管閉閤良好.結論 CP覆膜支架治療主動脈縮窄是安全、可行、創傷小的方法.
목적 탐토Cheatham-Platinum(CP)복막지가치료주동맥축착적안전성급료효.방법 회고성분석15례주동맥축착환자행BIB구낭확장술화CP복막지가치입술적치료효과.결과 소유환자술후회복교호,미출현지가이위、타절이급주동맥협층화파렬.술후검사축착단근원단동맥압차축소위5~10 mm Hg(1 mm Hg=0.133 kPa).수방(20±12)개월,환자일반정황회복교호,지가위치、형태량호,주동맥미견축착,혈압균회복정상,복사CTA시이상측지순배소실,합병동맥도관미폐환자술후복사심장초성시동맥도관폐합량호.결론 CP복막지가치료주동맥축착시안전、가행、창상소적방법.
Objective To evaluate the clinical safety and efficacy of Cheatham-Platinum(CP)covered stent in treatment of aortic coarctation.Methods The therapeutic efficacy was retrospectively analyzed in 15 patients with aortic coarctation who were treated by BIB balloon dilation and CP covered stent implantation.Results All patients were well recovered,the stent did not appear displaced,folded,aorta dissection and rupture.The pressure difference was 5-10 mm Hg(1 mm Hg=0.133 kPa)between proximal part and distal end after operation.Following up(20±12)months,the therapy efficacy of all the patients was stable and there was no fracture,removal,aortic stenosis or dysarteriotony.Heart ultrasounds demonstrated good close of the cases with patent ductus arteriosus.Conclusion CP covered stent is a safe and available clinical therapy,featured by minimum aorta injuries.