Lu Heng, Chen Liangwan, Cao Hua, Huang Zhongyao, Chen Yi
Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2015 May;40(5):522-7. doi: 10.11817/j.issn.1672-7347.2015.05.011.
To explore the safety and efficacy of "chimney graft" technique during thoracic endovascular aneurysm repair (TEVAR) in aortic arch lesions.
Th e methods, results and the incidence of complications in 25 patients, who received "chimney stent" therapy for aortic arch disease, were reviewed and analyzed.
From August, 2010 to August, 2014, 25 aortic arch lesions were treated by TEVAR with "chimney stent", 18 patients were male and 7 were female. The average age was 38-78(65±5.8) years old. Five patients received "chimney stents" for left common carotid artery, while 20 patients received "chimney stent" for left subclavian artery. Three cases showed small amount of Type I leak under immediate postoperative angiography without treatment. The leak was disappeared 1month later. Two patients appeared left upper limb weakness and one of them showed dizzinesss simultaneously. Both of them recovered gradually in follow-up process. Th ere was no limb ischemia or necrosis. Th e locations of aortic and "chimney stent" were stable without any migration and leak complications.
"Chimney graft" technique is a safe and effective treatment for aortic arch lesions due to lack of proximal anchoring zone. The follow up results in a short-term is satisfied.
探讨“烟囱式移植物”技术在胸主动脉腔内修复术（TEVAR）治疗主动脉弓病变中的安全性和有效性。
回顾性分析25例接受“烟囱式支架”治疗主动脉弓疾病患者的方法、结果及并发症发生率。
2010年8月至2014年8月，采用TEVAR联合“烟囱式支架”治疗25例主动脉弓病变，男性18例，女性7例。平均年龄38～78（65±5.8）岁。5例患者为左颈总动脉置入“烟囱式支架”，20例患者为左锁骨下动脉置入“烟囱式支架”。3例术后即刻血管造影显示少量Ⅰ型内漏，未作处理，1个月后内漏消失。2例患者出现左上肢无力，其中1例同时伴有头晕，随访过程中均逐渐恢复。未出现肢体缺血或坏死。主动脉及“烟囱式支架”位置稳定，无移位及内漏并发症。
“烟囱式移植物”技术是治疗因近端锚定区不足所致主动脉弓病变的一种安全有效的方法，短期随访结果满意。
