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急性复杂型和非复杂型 B 型主动脉夹层的治疗:重点在于血管内支架移植物。

Management of acute complicated and uncomplicated type B dissection of the aorta: focus on endovascular stent grafting.

机构信息

Department of Orthopedics, Boston University Medical Center, Boston, MA, USA.

出版信息

Cardiol Rev. 2010 Sep-Oct;18(5):234-9. doi: 10.1097/CRD.0b013e3181e883c9.

Abstract

Endovascular repair of aortic dissection is the subject of multiple studies. This article aims to review the current literature on Type B complicated and uncomplicated dissection, including indications for medical therapy, open surgical therapy, and endovascular therapy. The review suggests a benefit for thoracic endovascular aortic repair in complicated dissection and medical therapy for uncomplicated dissection. Upcoming trials may shed more light on this issue.

摘要

腔内修复主动脉夹层是多项研究的主题。本文旨在回顾关于 B 型复杂和不复杂夹层的现有文献,包括药物治疗、开放手术治疗和血管内治疗的适应证。该综述表明,腔内修复在复杂夹层中有益,药物治疗在不复杂夹层中有益。即将进行的试验可能会进一步阐明这个问题。

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