Endovascular treatment of acute and chronic isolated abdominal aortic dissection
Endovascular treatment of acute and chronic isolated abdominal aortic dissection
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急慢性孤立性腹主动脉夹层血管内治疗
DOI：
10.1177/1708538117749406
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发表时间：
2018-08-01
期刊：
影响因子：
1.1
通讯作者：
Fu, Weiguo
中科院分区：
文献类型：
--
作者：
Wang, Dongqing;Ma, Tao;Fu, Weiguo
目的探讨血管内主动脉修复（EVAR）治疗急慢性孤立性腹主动脉夹层（IAAD）的策略及临床效果。方法回顾性分析2012年1月至2017年6月33例IAAD患者的临床资料。根据从IAAD发病到EVAR的时间将患者分为急性组和慢性组（急性：90天；慢性：90天）。对两组患者的人口统计学、临床参数、手术因素和临床结果进行评估和比较。结果33例患者中21例诊断为急性IAAD， 12例诊断为慢性IAAD。所有患者均行EVAR，两组EVAR相关程序性因素无显著差异。所有患者的初级技术成功率均为100%。慢性组总生存率低于急性组，但差异无统计学意义（P=0.186）。慢性组无再干预生存率明显低于急性组（P=0.039）。所有患者均观察到EVAR后真腔（TL）明显增大，假腔（FL）和最大主动脉直径明显缩小(P
Objective To discuss the strategies and clinical outcomes of endovascular aortic repair (EVAR) for acute and chronic isolated abdominal aortic dissection (IAAD).Methods From January 2012 to June 2017, 33 patients with IAAD were retrospectively reviewed. Patients were classified into acute and chronic groups based on the time to EVAR from IAAD onset (acute: 90 days; chronic: >90 days). Patient demographics, clinical parameters, procedural factors, and clinical outcomes were evaluated and compared between the two groups.Results Among 33 patients, 21 were diagnosed with acute IAAD and 12 were diagnosed with chronic IAAD. All patients underwent EVAR, and no significant difference in EVAR-related procedural factors was observed between the two groups. The primary technical success rate in all patients was 100%. The overall survival rate in the chronic group was lower than that in the acute group, but the difference was not statistically significant (P=0.186). However, the reintervention-free survival rate in the chronic group was significantly lower than that in the acute group (P=0.039). Significant enlargement of the true lumen (TL) and regression of the false lumen (FL) and maximal aortic diameter were observed in all patients after EVAR (P