中国实用外科杂志

中国实用外科杂志

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“烟囱”技术用于缺乏锚定区的主动脉弓病变应用价值研究

章希炜，杨宏宇，邹君杰，马    昊，蒋    军   

  1. 南京医科大学第一附属医院血管外科，江苏南京210029
  • 发布日期:2012-11-29

  • Published:2012-11-29

摘要：

目的    探讨“烟囱”技术在缺乏锚定区的主动脉弓病变中应用的可行性和价值。方法    回顾性分析了2011年1月至2012年5月南京医科大学第一附属医院血管外科应用“烟囱”技术治疗31例近侧锚定区不足的主动脉弓病变的临床资料。结果    31例病人在植入主动脉支架人造血管的同时分别植入“烟囱”支架共32枚，手术均获得成功。随访3个月，“烟囱”支架通畅，1例无名动脉及左颈总动脉双“烟囱”支架病人动脉瘤腔有少量内漏。结论    “烟囱”技术拓展了主动脉病变腔内治疗的适应证，远期疗效尚待观察。

关键词: &ldquo, 烟囱&rdquo, 技术, 腔内修复术, 主动脉夹层, 主动脉弓部病变

Abstract:

Application of chimney technique in thoracic endovascular aneurysm repair of aortic arch lesion without good landing zone        ZHANG Xi-wei, YANG Hong-yu, ZOU Jun-jie, et al. Department of Vascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210019, China
Corresponding author: ZOU Jun-jie, E-mail: junjiezou1974@gmail.com
Abstract    Objective    To evaluate the feasibility of chimney technique in thoracic endovascular aneurysm repair (TEVAR) of aortic arch lesion without good landing zone. Methods    The clinical data of 31 cases of aortic arch lesion without good landing zone treated by chimney technique in TEVAR from January 2011 to May 2012 in the First Affiliated Hospital of Nanjing Medical University were analyzed retrospectively. Results    Thirty-two chimney stents were deployed in the 31 cases successfully. Endoleakage happened in only 1 case of double chimney stents during the follow-up period of 3 months. Conclusion    Chimney technique expands the applicability of TEVAR to patients with challenging anatomy. It is a safe, effective and microinvasive method in the treatment of aortic lesions recently and the therapeutic effect of long term still need to be studied.

Key words: chimney technique, endovascular aneurysm repair, aortic dissection, aortic arch lesion