主动脉夹层：新型外科杂交手术
Aortic Dissection: Novel Surgical Hybrid Procedures.
作者信息
Cannavale Alessandro, Santoni Mariangela, Fanelli Fabrizio, O'Sullivan Gerard
机构信息
Department of Radiology, NHS Greater Glasgow and Clyde, Glasgow, UK.
Department of Radiological Sciences, "Sapienza" University of Rome, Rome, Italy.
出版信息
Interv Cardiol. 2017 May;12(1):56-60. doi: 10.15420/icr.2016:16:3.
Abstract
The management of patients with aortic dissection is challenging and its treatment is an area of development and innovation. Conventional surgical techniques are associated with significant risks in terms of mortality and morbidity in such high-risk patients. As a result of cumulative advances in technology, classical surgical techniques have been improved and enhanced by the newer endovascular approaches, leading to novel surgical hybrid procedures. Impressive early results have been seen with frozen elephant techniques, revascularisation of the supra-aortic branches and branched/fenestrated thoracic endovascular aortic repair-alone procedures. This review describes the techniques involved in the latest hybrid procedures for aortic dissection and their outcomes.
摘要
主动脉夹层患者的管理具有挑战性，其治疗是一个不断发展和创新的领域。在这类高危患者中，传统手术技术在死亡率和发病率方面存在重大风险。由于技术的不断进步，经典手术技术已通过更新的血管内方法得到改进和加强，从而产生了新型手术杂交技术。冷冻象鼻技术、主动脉弓上分支血管重建以及单纯分支/开窗胸主动脉腔内修复术都取得了令人瞩目的早期效果。本综述描述了主动脉夹层最新杂交手术所涉及的技术及其结果。
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