中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2014年
3期
323-325
,共3页
主动脉疾病/外科学%支架%锁骨下动脉
主動脈疾病/外科學%支架%鎖骨下動脈
주동맥질병/외과학%지가%쇄골하동맥
Aortic diseases/surgery%Stents%Subclavian artery
目的 探讨Castor主动脉弓分支型支架治疗主动脉疾病的有效性和安全性.方法 2013年4月至2014年2月期间,共12例主动脉疾病患者接受Castor支架治疗,其中主动脉夹层9例,胸主动脉瘤2例,主动脉穿通性溃疡1例.结果 手术成功率为100％,无Ⅰ型内漏,无围手术期死亡,无脑卒中、急性心肌梗死、上肢缺血等严重并发症,术后近期随访CTA显示主动脉胸段假腔内血栓形成,无内漏.结论 Castor支架在主动脉疾病治疗中可以有效重建左侧锁骨下动脉血运,无严重近期并发症,远期结果仍需跟踪多病例的长期观察.
目的 探討Castor主動脈弓分支型支架治療主動脈疾病的有效性和安全性.方法 2013年4月至2014年2月期間,共12例主動脈疾病患者接受Castor支架治療,其中主動脈夾層9例,胸主動脈瘤2例,主動脈穿通性潰瘍1例.結果 手術成功率為100％,無Ⅰ型內漏,無圍手術期死亡,無腦卒中、急性心肌梗死、上肢缺血等嚴重併髮癥,術後近期隨訪CTA顯示主動脈胸段假腔內血栓形成,無內漏.結論 Castor支架在主動脈疾病治療中可以有效重建左側鎖骨下動脈血運,無嚴重近期併髮癥,遠期結果仍需跟蹤多病例的長期觀察.
목적 탐토Castor주동맥궁분지형지가치료주동맥질병적유효성화안전성.방법 2013년4월지2014년2월기간,공12례주동맥질병환자접수Castor지가치료,기중주동맥협층9례,흉주동맥류2례,주동맥천통성궤양1례.결과 수술성공솔위100％,무Ⅰ형내루,무위수술기사망,무뇌졸중、급성심기경사、상지결혈등엄중병발증,술후근기수방CTA현시주동맥흉단가강내혈전형성,무내루.결론 Castor지가재주동맥질병치료중가이유효중건좌측쇄골하동맥혈운,무엄중근기병발증,원기결과잉수근종다병례적장기관찰.
Objective To investigate the effectiveness and safety of Castor,a kind of aortic arch bifurcated stent-graft,during the treatment of aortic disease.Methods From 2013 June to 2014 February,12 patients including 9 aorta dissections,2 aorta aneurysms and 1 aorta penetrating ulcer,were treated by Castor system.Results The operation successful rate was 100％ with no type Ⅰendoleak.Perioperative mortality was 0,and no serious complications such as strokes,acute myocardial infarction,and ischemia of arms.Computed tomography angiography (CTA) of aorta on the sixth month presented good result of the disease.Conclusions Castor stent system can effectively reconstruct left subclavian artery in the treatment of aortic disease by thoracic endovascular aortic repair (TEVAR).A much longer period observation with more patients will give ones the long term results in the future.
