[1]宋松林,熊 斌,郑传胜,等.血管腔内治疗B型胸主动脉夹层伴A型壁内血肿3例[J].介入放射学杂志,2017,(11):1025-1028.
 SONG Songlin,XIONG Bin,ZHENG Chuansheng,et al.Endovascular repair of Standford type B thoracic aortic dissection complicated by type A intramural hematoma: preliminary results in 3 patients[J].journal interventional radiology,2017,(11):1025-1028.
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血管腔内治疗B型胸主动脉夹层伴A型壁内血肿3例()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年11期
页码:
1025-1028
栏目:
临床研究
出版日期:
2017-11-25

文章信息/Info

Title:
Endovascular repair of Standford type B thoracic aortic dissection complicated by type A intramural hematoma: preliminary results in 3 patients
作者:
宋松林 熊 斌 郑传胜 阚雪锋 钱 坤 冯敢生
Author(s):
SONG Songlin XIONG Bin ZHENG Chuansheng KAN Xuefeng QIAN Kun FENG Gansheng
Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province 430022, China
关键词:
【关键词】 胸主动脉腔内修复术 Standford B型胸主动脉夹层 A型壁内血肿
文献标志码:
A
摘要:
【摘要】 目的 探讨胸主动脉腔内修复术(TEVAR)治疗Standford B型夹层伴A型壁内血肿(MH)的安全性及有效性。方法 2015年10月至2017年1月共收治3例B型夹层伴A型MH患者,入院后稳定血压、心率,对症保守治疗14 d后行TEVAR术。 结果 3例患者均顺利完成TEVAR术,无逆撕等并发症。术后1个月全主动脉CTA复查显示夹层破口完全封闭,无内漏发生,真腔血流明显改善,壁内血肿明显吸收消退,升主动脉管壁厚度恢复至正常水平;患者临床症状明显好转,无截瘫、死亡等严重并发症发生。结论 对伴发升主动脉MH的Standford B型胸主动脉夹层,如果升主动脉内膜完整,降压、降心率处理后症状缓解,在发病14 d后行TEVAR术是安全有效的。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2017-01-31)
(本文编辑:边 佶)
更新日期/Last Update: 2017-11-16