Radical treatment of primary type B aortic dissection or after thoracic endovascular aortic repair to manage disseminated intravascular coagulation
Radical treatment of primary type B aortic dissection or after thoracic endovascular aortic repair to manage disseminated intravascular coagulation
复制标题
原发性 B 型主动脉夹层或胸主动脉腔内修复术后的根治性治疗，以控制弥散性血管内凝血
DOI：
10.21037/jtd.2018.06.93
复制
发表时间：
2018-06-01
影响因子：
2.5
通讯作者：
Fu, Weiguo
中科院分区：
文献类型：
--
作者：
Wang, Lixin;Liu, Fei;Fu, Weiguo
继发于B型主动脉夹层的弥散性血管内凝血（DIC）是一种罕见且致命的并发症，尚未得到充分研究。我们研究的目的是报告一种新型血管内技术，排除所有撕裂，以管理DIC。从2017年4月至2017年10月，我们使用这种新型根治性腔内修复技术对2例B型主动脉夹层并发DIC进行了治疗。收集了患者的临床数据，并提供了技术细节。这2例病例均采用新型根治性腔内修复技术成功治疗。这两名患者均接受了DIC治疗，并形成了FL血栓。6个月随访显示没有复发DIC，主动脉直径稳定，FL完全血栓形成。这种排除所有撕裂的腔内修复技术是防止凝血成分持续消耗从而有效治疗DIC的可行方法。
Disseminated intravascular coagulation (DIC) secondary to type B aortic dissection is an unusual and fatal complication that has not been fully investigated. The aim of our study is to report a novel endovascular technique excluding all tears to manage DIC. From April 2017 to October 2017, we performed 2 cases of DIC complicated to type B aortic dissection using this novel radical endovascular repair technique. Clinical data of patients were collected and technical details were presented. These two cases were successfully treated with novel radical endovascular repair technique. DIC was managed and FL thrombosis was formed in these two patients. Follow-up at 6 months revealed no recurrent DIC and a stable aortic diameter with complete FL thrombosis. This endovascular repair technique that excluding all the tears is a feasible approach to prevents continuous coagulation components consumption and thus to manage DIC effectively.