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[1]席志龙,仇冰梅,王常田,等.Stanford B型主动脉夹层合并迷走右锁骨下动脉的杂交治疗[J].医学研究与战创伤救治(原医学研究生学报),2023,25(1):50-53.[doi:10.3969/j.issn.1672-271X.2023.01.010]
　XI Zhilong,QIU Bingmei,WANG Changtian,et al.Hybrid endovascular repair for type B aortic dissection combined with aberrant right subclavian artery[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2023,25(1):50-53.[doi:10.3969/j.issn.1672-271X.2023.01.010]
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Stanford B型主动脉夹层合并迷走右锁骨下动脉的杂交治疗()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第25卷
期数:
2023年1期
页码:
50-53
栏目:
临床研究
出版日期:
2023-05-10

文章信息/Info

Title:
Hybrid endovascular repair for type B aortic dissection combined with aberrant right subclavian artery
作者:
席志龙; 仇冰梅; 王常田; 张雷; 李德闽
作者单位：210002南京，东部战区总医院心胸外科（席志龙、仇冰梅、王常田、张雷、李德闽）
Author(s):
XI Zhilong;  QIU Bingmei;  WANG Changtian;  ZHANG Lei;  LI Demin
(Department of Cardiothoracic Surgery, General Hospital of Eastern Theater Command, PLA, Nanjing 210002, Jiangsu, China)
关键词:
B型主动脉夹层; 迷走右锁骨下动脉; 杂交治疗
Keywords:
type B aortic dissection;  aberrant right subclavian artery;  hybrid endovascular repair
分类号:
R654.3
DOI:
10.3969/j.issn.1672-271X.2023.01.010
文献标志码:
A
摘要:
目的总结并探讨合并迷走右锁骨下动脉（ARSA）的Stanford B型主动脉夹层的治疗策略。方法回顾性分析2015年1月至2022年1月东部战区总医院收治的合并ARSA的Stanford B型主动脉夹层5例患者的临床资料和治疗结果。结果5例患者均行杂交治疗,先行升主动脉-左、右锁骨下动脉血管旁路，再行胸主动脉腔内修复术（TEVAR）。术后均痊愈出院，平均住院（13.4±4.3）d，围术期及随访期间无死亡、内漏、头颅及上肢缺血等并发症。结论杂交手术是治疗合并ARSA的Stanford B型主动脉夹层的有效手段，临床疗效满意。
Abstract:
ObjectiveTo summarize and discuss the therapy of type B aortic dissection combined withaberrant right subclavian artery.MethodsThe clinical and image data of 5 patients, who suffered from type B aortic dissection combined with aberrant right subclavian artery admitted to the Eastern Theater General Hospital from January 2015 to January 2022, were retrospectively analyzed.ResultsAll of the 5 cases received hybrid endovascular repair.Before the thoracic endovascular aortic repair(TEVAR), supra-aortic bypass to all aortic branches involved was rebuilt.The average hospital stay was (13.4±4.3) days. All patients were successfully discharged during the perioperative and follow-up periods，without endoleak，upper limb ischemia or nervous system complications.ConclusionFor type B aortic dissection combined with aberrant right subclavian artery, hybrid endovascular repair is a safe treatment strategy and lead to satisfactory clinical outcome，which can effectively avoid upper limb ischemia and nervous system complications after operation.

参考文献/References:

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更新日期/Last Update: 2023-04-19