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本文引用的文献

1
Branched Endovascular Therapy of the Distal Aortic Arch: Preliminary Results of the Feasibility Multicenter Trial of the Gore Thoracic Branch Endoprosthesis.主动脉弓远端的分支血管内治疗：戈尔胸部分支血管内假体可行性多中心试验的初步结果
Ann Thorac Surg. 2016 Oct;102(4):1190-8. doi: 10.1016/j.athoracsur.2016.03.091. Epub 2016 Jun 2.
2
Is Total Arch Replacement Associated With Worse Outcomes During Repair of Acute Type A Aortic Dissection?急性A型主动脉夹层修复术中全弓置换是否与更差的预后相关？
Ann Thorac Surg. 2015 Dec;100(6):2159-65; discussion 2165-6. doi: 10.1016/j.athoracsur.2015.06.007. Epub 2015 Aug 11.
3
Total Arch Replacement Versus More Conservative Management in Type A Acute Aortic Dissection.A型急性主动脉夹层全弓置换术与更保守治疗的对比
Ann Thorac Surg. 2015 Jul;100(1):88-94. doi: 10.1016/j.athoracsur.2015.02.041. Epub 2015 May 13.
4
Distal aortic interventions after repair of ascending dissection: the argument for a more aggressive approach.升主动脉夹层修复术后的主动脉远端介入治疗：更激进治疗策略的观点。
J Thorac Cardiovasc Surg. 2015 Feb;149(2 Suppl):S117-24.e3. doi: 10.1016/j.jtcvs.2014.11.029. Epub 2014 Nov 20.
5
Distal aortic reintervention after surgery for acute DeBakey type I or II aortic dissection: open versus endovascular repair.急性DeBakey I型或II型主动脉夹层手术后的远端主动脉再次干预：开放手术与血管腔内修复术的比较
Eur J Cardiothorac Surg. 2015 Aug;48(2):258-63. doi: 10.1093/ejcts/ezu488. Epub 2014 Dec 18.
6
Unilateral versus bilateral cerebral perfusion for acute type A aortic dissection.急性A型主动脉夹层的单侧与双侧脑灌注
Ann Thorac Surg. 2015 Jan;99(1):80-7. doi: 10.1016/j.athoracsur.2014.07.049. Epub 2014 Nov 6.
7
Is extended arch replacement justified for acute type A aortic dissection?对于急性A型主动脉夹层，进行主动脉弓延长置换是否合理？
Interact Cardiovasc Thorac Surg. 2015 Jan;20(1):120-6. doi: 10.1093/icvts/ivu323. Epub 2014 Oct 3.
8
Long-term results of aggressive hemiarch replacement in 534 patients with type A aortic dissection.534例A型主动脉夹层患者积极半弓置换术的长期结果
J Thorac Cardiovasc Surg. 2014 Dec;148(6):2981-5. doi: 10.1016/j.jtcvs.2014.05.093. Epub 2014 Jul 19.
9
Long-term results of neomedia sinus valsalva repair in 489 patients with type A aortic dissection.489例A型主动脉夹层患者行新窦瓦氏窦修复术的长期结果
Ann Thorac Surg. 2014 Aug;98(2):582-8; discussion 588-9. doi: 10.1016/j.athoracsur.2014.04.050. Epub 2014 Jun 10.
10
Outcomes of acute type a dissection repair before and after implementation of a multidisciplinary thoracic aortic surgery program.多学科胸主动脉外科项目实施前后急性 A 型夹层修复的结果。
J Am Coll Cardiol. 2014 May 6;63(17):1796-803. doi: 10.1016/j.jacc.2013.10.085. Epub 2014 Jan 8.

简化主动脉弓手术：开放2区主动脉弓并完成单分支胸段血管腔内主动脉修复术。

Simplifying aortic arch surgery: open zone 2 arch with single branched thoracic endovascular aortic repair completion.

作者信息

Desai Nimesh D, Hoedt Ashley, Wang Grace, Szeto Wilson Y, Vallabhajosyula Prasthanth, Reinke Mary, Bavaria Joseph E

机构信息

Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Ann Cardiothorac Surg. 2018 May;7(3):351-356. doi: 10.21037/acs.2018.05.08.

DOI:10.21037/acs.2018.05.08
PMID:30155413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6094018/
Abstract

BACKGROUND

Distal aortic complications from acute DeBakey I dissection repair are an important source of late morbidity and mortality. We present an early experience of using a novel single-branched thoracic aortic endograft in conjunction with open techniques to treat acute DeBakey I aortic dissection.

METHODS

The patients in this series include five hyperacute dissections managed with a combined zone 2 partial arch replacement and placement of a zone 2 single subclavian branch endograft.

RESULTS

There were no perioperative mortalities, strokes, or spinal cord ischemia in any patients at either stage of the procedure. At follow-up imaging, no patients had anterograde flow into the false lumen. All patients experienced false lumen thrombosis in the stented portion of the aorta.

CONCLUSIONS

This combination of open repair techniques and the use of a novel branched endograft resulted in excellent early outcomes in this pioneer series. Further investigation of these techniques in a prospective fashion is warranted.

摘要

背景

急性DeBakey I型主动脉夹层修复术后的远端主动脉并发症是晚期发病和死亡的重要来源。我们展示了使用新型单分支胸主动脉内移植物结合开放技术治疗急性DeBakey I型主动脉夹层的早期经验。

方法

本系列患者包括5例超急性夹层，采用联合2区部分弓置换和2区单锁骨下分支内移植物置入术进行治疗。

结果

在手术的任何阶段，所有患者均未发生围手术期死亡、中风或脊髓缺血。在随访影像学检查中，没有患者出现顺行血流进入假腔。所有患者的主动脉支架置入部分均出现假腔血栓形成。

结论

在这个先驱系列中，开放修复技术与新型分支内移植物的联合使用产生了优异的早期结果。有必要对这些技术进行前瞻性进一步研究。