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外科研究与新技术（中英文）

外科研究与新技术（中英文） >

2012 , Vol. 1 >Issue 1: 8 - 12

DOI: https://doi.org/10.3969/j.issn.2095-378X.2012.01.003

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主动脉扩张性疾病微创腔内治疗进展

  • 景在平 ,
  • 陆清声 ,
  • 张雷
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  • 长海医院血管外科, 上海 200433
景在平(1955-), 男, 山东人, 博士生导师, 研究血管外科.

网络出版日期: 2012-01-25

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Minimal invasive endovascular repain for distention of aorta

  • Jing Zai-Ping ,
  • Lu Qing-Sheng ,
  • Zhang Lei
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  • Vascular Dept. Surg. Changhai Hosp., Shanghai 200433, China

Online published: 2012-01-25

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摘要

主动脉扩张性疾病是指主动脉的一种病理扩张状态, 以主动脉夹层和腹主动脉瘤为代表。一直以来, 腔内治疗主动脉扩张性疾病以胸降主动脉和肾下腹主动脉区为主。随着腔内技术和器具的进步, 越来越多的累及主动脉弓和腹部内脏区甚至升主动脉的主动脉扩张性疾病, 都可以通过开槽技术、开窗技术、分支技术、多层裸支架技术甚至完全微创腔内技术进行治疗。本文将以主动脉夹层和腹主动脉瘤为例, 介绍其治疗进展。

关键词： 主动脉夹层; 主动脉瘤; 腔内治疗

本文引用格式

景在平 , 陆清声 , 张雷 . 主动脉扩张性疾病微创腔内治疗进展[J]. 外科研究与新技术（中英文）, 2012 , 1(1) : 8 -12 . DOI: 10.3969/j.issn.2095-378X.2012.01.003

Abstract

Aortic dilated disease is a pathological condition of aortic dilation, including aortic dissection and abdominal aortic aneurysm. Endovascular treatment of aortic dilated disease was usually in the area of descending thoracic aorta and infrarenal abdominal aorta. As the development of technique and appliance, more and more aortic dilated diseases involving aortic arch, abdominal visceral aorta and ascending aorta could be treated by scallop, fenestration, branch technique, multiple bare stents and complete endovascular technique. The purpose of this review was to show the progress of endovascular treatment of aortic dissection and aneurysm.

Key words： Aortic dissection; Aortic aneurysm; Endovascular treatment

参考文献

[1] 景在平,Muller-Wiefel H,Raithel D,等.腔内隔绝术治疗腹主动脉瘤[J].中华外科杂志,1998,36(4):212-214.
[2] 景在平,包俊敏.腔内隔绝术治疗胸主动脉夹层动脉瘤[J].第二军医大学学报,1999,20(11):828-830.
[3] DeBakey ME,Henly WS,Cooley DA.Surgical Management of dissecting aneurysms of the aorta[J].Thorac Cardiovasc Surg,1965,49:130-148.
[4] Dailey PO,Trueblood H,Stinson EB.Management of acute aortic dissection[J].Ann Thorac Surg,1970,10:237-246.
[5] 景在平,梅志军.针对腔内隔绝术的主动脉夹层分型的探讨[J].中华外科杂志,2005,43(13):894-895.
[6] Dake MD,Kato N,Mitchell RS,et al.Endovascular stent-graft placement for the treatment of acute aortic dissection[J].N Engl J Med,1999,340(20):1546-1552.
[7] Nienaber CA,Fattori R,Lund G,et al.Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement[J].N Engl J Med,1999,340(20):1539-1545.
[8] Kwolek CJ,Watkins MT.The Investigation of Stent Grafts in Aortic Dissection (INSTEAD) trial: the need for ongoing analysis[J].Circulation,2009,120(25):2513-2514.
[9] Dong Z,Fu W,Wang Y,et al.Stent graft-induced new entry after endovascular repair for Stanford type B aortic dissection[J].J Vasc Surg,2010,52(6):1450-1457.
[10] Feng JX,Lu QS,Zhao ZQ,Bao JM,Feng X,Qu LF,Zhou J,Jing ZP.Restrictive Bare Stent for Prevention of Stent Graft Induced Distal Re-dissection after TEVAR for Type B Aortic Dissection[J].J Vasc Surg,2012.Accepted.
[11] Chocron S,Vaislic C,Kaili D,et al.Multilayer stents in the treatment of thoraco-abdominal residual type B dissection[J].Interact Cardiovasc Thorac Surg,2011,12(6):1057-1059.
[12] Yuan LX,Bao JM,Zhao ZQ,et al.Simultaneous multi-tear exclusion: an optimal strategy for type B thoracic aortic dissection initially proved by a single centers 8 years experience[J].Chin Med J,2007,120(24):2210-2214.
[13] 陆清声,景在平.主动脉弓扩张性疾病的腔内治疗[J].2011,16(2):126-129.
[14] Lu QS,Jing ZP,Zhao ZQ,Bao JM,Feng X,Feng R,Mei ZJ.Endovascular stent graft repair of aortic dissection type B extending to the aortic arch[J].Eur J Vasc Endovasc Surg,2011,42(4):456-463.
[15] Feng R,Zhao Z,Bao J,et al.Double-chimney technology for treating secondary type I endoleak after endovascular repair for complicated thoracic aortic dissection[J].J Vasc Surg,2011,54(1):212-215.
[16] Shu C,Luo MY,Li QM,et al.Early results of left carotid chimney technique in endovascular repair of acute non-a-non-B aortic dissections[J].J Endovasc Ther,2011,18(4):477-484.
[17] Lu QS,Jing ZP,Bao JM,Pei YF.Endovascular Repair of a Distal Aortic Arch Pseudoaneurysm Using a Scallop-Edged Stent-Graft[J].J Vasc Interv Radiol,2009,20(11):1500-1502
[18] Yuan L,Feng X,Jing ZP et al.Endovascular Repair of a Thoracic Arch Aneurysm with a Fenestrated Stent-Graft[J].J Endovasc Ther,2008,15(5):539-543.
[19] Shen K,Tang H,Jing R,et al.Application of triple-branched stent graft for Stanford type A aortic dissection: potential risks[J].Eur J Cardiothorac Surg,2012,41(3):12-17.
[20] Santilli JD,Santilli SM.Diagnosis and treatment of abdominal aortic aneurysms[J].Am Fam Physician,1997,56(4):1081-1090.
[21] Gillum RF.Epidemiology of aortic aneurysm in the United States[J].J Clin Epidemiol,1995,48(11):1289-1298.
[22] Blanchard JF.Epidemiology of abdominal aortic aneurysms[J].Epidemiol Rev,1999,21(2):207-221.
[23] Parodi JC,Palmaz JC,Barone HD: Transfemoral intraluminal graft implantation for abdominal aortic aneurysm[J].Ann Vasc Surg,1991,5(6):491-499.
[24] 赵珺,景在平,赵志青,等.移植物开窗保留单侧肾动脉腔内隔绝术治疗包裹性破裂的腹主动脉瘤[J].介入放射学杂志,2003,12(1):54-55.
[25] de Vries JP.Treatment of complex thoracoabdominal or juxtarenal aortic aneurysms with a Multilayer stent[J].J Endovasc Ther,2012,19(1):125-127.
[26] Stager V,Gandhi R,Stroman D,Timaran C,Broker H.Traumatic internal carotid artery injury treated with overlappingping bare metal stents under intravascular ultrasound guidance[J].J Vasc Surg,2011,53(2):483-486.
[27] Lu QS,Feng JX,Yang Y,et al.Treatment of type I endoleak after endovascular repair of infrarenal abdominal aortic aneurysm success of fibrin glue sac embolization[J].J EndovascTher,2010,17(6):687-693.
[28] Weale AR,Balasubramaniam K,Macierewicz J,Hardman J,Horrocks M.Outcome and safety of Aorfix? stent graft in highly angulated necks - a prospective observational study (arbiter 2)[J].Eur J Vasc Endovasc Surg,2011,41(3):337-343.
[29] Jimenez JC,Quinones-Baldrich WJ.Technical modifications for endovascular infrarenal AAA repair for the angulated and dumbbell-shaped neck: the precuff Kilt technique[J].Ann Vasc Surg,2011,25(3):423-430.
[30] Ghouri MA,Dougherty KG,Krajcer Z.J.Technical tips for endovascular treatment of abdominal aortic aneurysms with challenging infrarenal neck anatomy using the Excluder endoprosthesis[J].Endovasc Ther,2010,17(6):705-711.
[31] Lu Q,Feng J,Yang Y,et al.Treatment of type I endoleak after endovascular repair of infrarenal abdominal aortic aneurysm: success of fibrin glue sac embolization[J].J Endovasc Ther,2010,17(6):687-693.
[32] Donayre CE,Zarins CK,Krievins DK,et al.Initial clinical experience with a sac-anchoring endoprosthesis for aortic aneurysm repair[J].J Vasc Surg,2011,53(3):574-582.
[33] Haulon S,Greenberg RK,Pfaff K,et al.Branched grafting for aortoiliac aneurysms[J].Eur J Vasc Endovasc Surg,2007,33(5):567-574.
[34] Eisenack M,Umscheid T,Tessarek J,et al.Percutaneous endovascular aortic aneurysm repair: a prospective evaluation of safety,efficiency,and risk factors[J].J Endovasc Ther,2009,16(6):708-713.
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