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急性创伤性主动脉损伤的血管内治疗

Endovascular Management of Acute Traumatic Aortic Injury.

作者信息

Cline Michael, Cooper Kyle J, Khaja Minhaj S, Gandhi Ripal, Bryce Yolanda C, Williams David M

机构信息

Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI.

Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI.

出版信息

Tech Vasc Interv Radiol. 2018 Sep;21(3):131-136. doi: 10.1053/j.tvir.2018.06.002. Epub 2018 Jun 14.

Abstract

Acute traumatic injury of the thoracic aorta is a highly lethal condition, with many afflicted patients expiring before hospital arrival. While previously these conditions were managed with open surgery, endovascular repair has rapidly evolved and is now considered the standard of care for certain patterns of aortic injury at centers with appropriate expertise. The development of newer branched devices has allowed these techniques to be utilized further and further proximally into the aorta. Through minimally invasive techniques, many aortic injuries can now be treated percutaneously with shorter recovery time and less perioperative complications.

摘要

胸主动脉急性创伤是一种致死率很高的病症,许多患者在抵达医院之前就已死亡。以前这类病症通过开放手术治疗,而血管内修复技术已迅速发展,对于具备适当专业技能的医疗中心,血管内修复目前被视为某些类型主动脉损伤的标准治疗方法。新型分支装置的开发使这些技术能够在主动脉中越来越靠近近端地使用。通过微创技术,现在许多主动脉损伤可以通过经皮治疗,恢复时间更短,围手术期并发症更少。

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