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单纯B型主动脉夹层的药物治疗与腔内隔绝术对比

Medical therapy versus TEVAR for uncomplicated type B aortic dissection.

作者信息

Bedi Varinder Singh, Swain Pranati, Yadav Ajay

机构信息

Institute of Vascular & Endovascular Sciences, Sir Ganga Ram Hospital, New Delhi, Delhi 110060 India.

Army Hospital R & R, New Delhi, Delhi 110010 India.

出版信息

Indian J Thorac Cardiovasc Surg. 2019 Jun;35(Suppl 2):174-178. doi: 10.1007/s12055-019-00837-8. Epub 2019 May 30.

DOI:10.1007/s12055-019-00837-8
PMID:33061083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7525542/
Abstract

The standard of care in uncomplicated acute type B aortic dissection (uTBAD) has been optimal medical management. Surgical repair and endovascular interventions are adjuncts in managing complicated type B dissection. Increasing safety and confidence in the thoracic endovascular aortic repair (TEVAR) and recent data indicating long-term complications in medical management of uTBAD has brought a shift in treatment approach. TEVAR at best remains controversial, yet there is a subset, which will definitely benefit from intervention.

摘要

单纯急性B型主动脉夹层（uTBAD）的标准治疗方法一直是最佳药物治疗。手术修复和血管内介入是治疗复杂B型夹层的辅助手段。胸主动脉腔内修复术（TEVAR）的安全性不断提高且信心增强，以及近期数据表明uTBAD药物治疗存在长期并发症，这使得治疗方法发生了转变。TEVAR充其量仍存在争议，但有一部分患者肯定会从干预中获益。

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本文引用的文献

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Uncomplicated Acute Type B Aortic Dissection: Selection Guidelines for TEVAR.单纯性急性B型主动脉夹层：腔内修复术的选择指南
Ann Vasc Dis. 2017 Sep 25;10(3):165-9. doi: 10.3400/avd.ra.17-00061.
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Update in the management of type B aortic dissection.B型主动脉夹层的治疗进展
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Tex Heart Inst J. 2011;38(6):694-700.
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