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Management of acute type B aortic dissections and acute limb ischemia.急性B型主动脉夹层和急性肢体缺血的管理。
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Percutaneous management of ischemic complications in patients with type-B aortic dissection.B型主动脉夹层患者缺血性并发症的经皮治疗
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Endovascular stent-graft placement for the treatment of acute aortic dissection.血管内支架型人工血管置入术治疗急性主动脉夹层
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同期血管内支架置入与肾支架置入治疗急性B型主动脉夹层合并肾脏灌注不良

Simultaneous endovascular stent and renal stent placement for acute type B aortic dissection with malperfusion of kidney.

作者信息

Dagdelen Sinan, Aydın Ebuzer, Karabulut Hasan

机构信息

Acıbadem University, School of Medicine, Department of Cardiology, Istanbul.

出版信息

J Saudi Heart Assoc. 2012 Apr;24(2):141-4. doi: 10.1016/j.jsha.2012.02.002. Epub 2012 Feb 13.

DOI:10.1016/j.jsha.2012.02.002
PMID:23960684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3727560/
Abstract

Acute aortic dissection frequently causes life-threatening organ ischemia. The optimal therapy for acute type-B aortic dissection is still controversial. Surgery for acute dissection with organ malperfusion is known to carry a high morbidity and mortality; however endovascular treatment is becoming an alternative form of treatment. We report a clinical case of emergency percutaneous thoracal aorta endovascular stenting and renal artery stenting in a patient who had renal malperfusion and acute renal failure due to acute type-B dissection. The present case is a fundamental examples of collaboration between the cardiologist and cardiovascular surgeon in a hybrid procedure.

摘要

急性主动脉夹层常常导致危及生命的器官缺血。B型急性主动脉夹层的最佳治疗方法仍存在争议。已知对伴有器官灌注不良的急性夹层进行手术具有较高的发病率和死亡率；然而，血管内治疗正成为一种替代治疗方式。我们报告了一例因B型急性夹层导致肾灌注不良和急性肾衰竭的患者接受急诊经皮胸主动脉血管内支架置入术和肾动脉支架置入术的临床病例。本病例是心脏病专家和心血管外科医生在杂交手术中合作的一个基本范例。