山东医学高等专科学校学报
山東醫學高等專科學校學報
산동의학고등전과학교학보
Journal of Shandong Medical College
2015年
5期
364-366
,共3页
烟囱技术%StanfordB型主动脉夹层%腹主动脉瘤累及肾动脉%腔内隔绝
煙囪技術%StanfordB型主動脈夾層%腹主動脈瘤纍及腎動脈%腔內隔絕
연창기술%StanfordB형주동맥협층%복주동맥류루급신동맥%강내격절
The chimney technology%StanfordB type aortic dissection%Abdominal aortic aneurysm involvement renal artery%Lumen isolation
目的：探讨烟囱技术在StanfordB型主动脉夹层和腹主动脉瘤累及肾动脉（juxtarenal aortic aneurysms ，JAA）修复术的应用的可行性和安全性。方法2010年01月至2013年01月诊治21例StanfordB型主动脉夹层和腹主动脉瘤累及肾动脉的患者，其中StanfordB型主动脉夹层13例，腹主动脉瘤累及肾动脉8例。所有患者均行先C T 增强扫描，后经股动脉穿刺主动脉造影证实，植入覆膜支架行腔内隔绝术并行“烟囱”技术保护重要分支动脉。结果所有患者均成功修复主动脉并保证重要分支动脉如锁骨下动脉和肾动脉通畅。结论“烟囱”技术的临床应用解决了腔内隔绝术修复主动脉病变的同时避免出现其他被隔绝的重要分支血管的灌注问题，并为解决原发疾病的覆膜支架提供了有效的近端锚定区，甚至可协助消除内漏，从而保证了手术的疗效。
目的：探討煙囪技術在StanfordB型主動脈夾層和腹主動脈瘤纍及腎動脈（juxtarenal aortic aneurysms ，JAA）脩複術的應用的可行性和安全性。方法2010年01月至2013年01月診治21例StanfordB型主動脈夾層和腹主動脈瘤纍及腎動脈的患者，其中StanfordB型主動脈夾層13例，腹主動脈瘤纍及腎動脈8例。所有患者均行先C T 增彊掃描，後經股動脈穿刺主動脈造影證實，植入覆膜支架行腔內隔絕術併行“煙囪”技術保護重要分支動脈。結果所有患者均成功脩複主動脈併保證重要分支動脈如鎖骨下動脈和腎動脈通暢。結論“煙囪”技術的臨床應用解決瞭腔內隔絕術脩複主動脈病變的同時避免齣現其他被隔絕的重要分支血管的灌註問題，併為解決原髮疾病的覆膜支架提供瞭有效的近耑錨定區，甚至可協助消除內漏，從而保證瞭手術的療效。
목적：탐토연창기술재StanfordB형주동맥협층화복주동맥류루급신동맥（juxtarenal aortic aneurysms ，JAA）수복술적응용적가행성화안전성。방법2010년01월지2013년01월진치21례StanfordB형주동맥협층화복주동맥류루급신동맥적환자，기중StanfordB형주동맥협층13례，복주동맥류루급신동맥8례。소유환자균행선C T 증강소묘，후경고동맥천자주동맥조영증실，식입복막지가행강내격절술병행“연창”기술보호중요분지동맥。결과소유환자균성공수복주동맥병보증중요분지동맥여쇄골하동맥화신동맥통창。결론“연창”기술적림상응용해결료강내격절술수복주동맥병변적동시피면출현기타피격절적중요분지혈관적관주문제，병위해결원발질병적복막지가제공료유효적근단묘정구，심지가협조소제내루，종이보증료수술적료효。
Objective Type chimney technology in StanfordB abdominal aortic aneurysm and aortic dis‐section involving the renal artery (juxtarenal aortic aneurysms ,JAA) application feasibility and safety of repair .Methods Jan 2010 to jan 2013 ,21 cases of diagnosis and treatment of abdominal aortic aneurysm and aortic dissection StanfordB type involving patients with renal artery ,w hich StanfordB type ,including 13 cases of aortic dissection ,abdominal aortic aneurysm involvement of 8 cases of renal artery .All patients were performed CT enhanced scan ,before they are confirmed by femoral artery puncture aortic angiogra‐phy ,coated stents improperness internal isolation in parallel "chimney" technology to protect important branch artery .Results All patients were successfully repair the aorta and guarantee important branch such as subclavian artery and renal artery flow .Conclusion The clinical application of "chimney" technology solves the lumen of isolated from surgery to repair the aortic lesions at the same time avoid the other im‐portant branch of isolated vascular perfusion ,and to solve the primary disease of coated stent provides ef‐fective proximal anchoring area , even can help eliminate the leakage , to ensure the operation curative effect .
