Department of Vascular Surgery, The 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, No. 639 Zhizaoju Road, Shanghai, PR China.
Surg Today. 2011 Mar;41(3):352-7. doi: 10.1007/s00595-010-4295-z. Epub 2011 Mar 2.
To review the results of endovascular treatment of acute aortic dissections with domestic stent-grafts at a single center.
Data from all 51 patients who presented with acute aortic dissections (ADs, Stanford B type) between April 2004 and May 2009 and underwent endovascular interventions with domestic stent grafts were retrospectively reviewed. Of these patients 50 had primary ADs and 1 had a traumatic AD. All patients were followed up for from 1 to 48 months (average, 15.11 ± 10.93 months).
There was no strut failure or surgical conversion in any of the patients. Intraoperative angiography documented the complete seal of the primary entry. Two deaths occurred during hospitalization. One patient died due to aortic rupture 24 h after the procedure, and the other died of myocardial infarction 3 days later. Two patients (4.1%) died during the follow-up period. A Kaplan-Meier analysis revealed a 4-year survival rate of 92.16%.
Endovascular treatment for acute Stanford B-type ADs with domestic stent grafts is both safe and effective, while also demonstrating an acceptable survival rate and mid-term clinical outcomes.
回顾单中心使用国产覆膜支架腔内治疗急性主动脉夹层（AD）的结果。
回顾性分析 2004 年 4 月至 2009 年 5 月期间因急性 AD（Stanford B 型）接受国产覆膜支架腔内治疗的 51 例患者的资料。其中原发性 AD 50 例，外伤性 AD1 例。所有患者均随访 1~48 个月，平均随访时间为 15.11±10.93 个月。
无支架断裂或外科转换。术中血管造影证实原发破口完全封闭。住院期间死亡 2 例。1 例患者术后 24 h 死于主动脉破裂，另 1 例患者 3 天后死于心肌梗死。随访期间死亡 2 例（4.1%）。Kaplan-Meier 分析显示 4 年生存率为 92.16%。
使用国产覆膜支架腔内治疗急性 Stanford B 型 AD 安全有效，且具有可接受的生存率和中期临床效果。
