Endovascular repair of acute type B thoracic aortic dissection.

Endovascular repair of acute type B thoracic aortic dissection.
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急性B型胸主动脉夹层血管内修复术。

DOI:
10.21037/acs-2021-taes-26
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发表时间:
2021
影响因子:
3.1
通讯作者:
O. Preventza
O. Preventza
中科院分区:
医学2区
文献类型:
--
作者:
Alice Le Huu;O. Preventza

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大约三分之一的急性Stanford B型或DeBakey III型主动脉夹层(TBAD)患者会出现并发症,包括持续症状、灌流不良、动脉瘤扩大和即将破裂。在这些情况下,TBAD成为外科急症,需要血管内介入来补充内科治疗。血管内治疗的直接目标是重建到真正管腔的血流,稳定动脉瘤并防止破裂。长期目标是重建降胸主动脉和防止胸腹主动脉的进一步手术。在这份报告中,我们描述了我们一步一步的血管内修复TBAD的方法。
Approximately one-third of patients with acute Stanford type B or DeBakey type III aortic dissection (TBAD) will develop complications, including persistent symptoms, malperfusion, enlarging aneurysms and impending rupture. In these cases, TBAD becomes a surgical emergency that requires endovascular intervention to complement the medical therapy. The immediate goal of endovascular therapy is to reestablish flow to the true lumen, stabilize the aneurysm and prevent rupture. Long-term goals are the remodeling of the descending thoracic aorta and the prevention of further surgeries in the thoracoabdominal aorta. In this report, we describe our step-by-step endovascular approach to TBAD repair.
DOI: 10.1016/j.jvs.2011.11.063
发表时间: 2012-05
影响因子: 4.3
作者:
Williams, Judson B.;Andersen, Nicholas D.;Bhattacharya, Syamal D.;Scheer, Elizabeth;Piccini, Jonathan P.;McCann, Richard L.;Hughes, G. Chad
通讯作者: Hughes, G. Chad