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急性I型主动脉夹层的最佳修复范围——冷冻象鼻技术？时长及原因？

Optimal Extent of Repair for Acute Type I Aortic Dissection-Frozen Elephant Trunk? How Long and Why?

作者信息

Luc Jessica G Y, Preventza Ourania

机构信息

Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

出版信息

Aorta (Stamford). 2022 Aug;10(4):169-174. doi: 10.1055/s-0042-1756664. Epub 2022 Dec 15.

DOI:10.1055/s-0042-1756664
PMID:36521808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9754864/
Abstract

Acute Type A dissection is a life-threatening condition requiring urgent surgical treatment. The operative technique involves repairs of a variety of distal extents of the transverse aortic arch and the downstream aorta. We review the evidence surrounding the extent of repair for acute Type A aortic dissection and describe our approach to this disease.

摘要

急性A型主动脉夹层是一种危及生命的疾病，需要紧急手术治疗。手术技术包括修复各种不同远端范围的主动脉弓横部和下游主动脉。我们回顾了有关急性A型主动脉夹层修复范围的证据，并描述了我们对这种疾病的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bf5/9754864/2c045d0306a1/10-1055-s-0042-1756664-i210045-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bf5/9754864/78b1e95cb872/10-1055-s-0042-1756664-i210045-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bf5/9754864/2c045d0306a1/10-1055-s-0042-1756664-i210045-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bf5/9754864/78b1e95cb872/10-1055-s-0042-1756664-i210045-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bf5/9754864/2c045d0306a1/10-1055-s-0042-1756664-i210045-2.jpg

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本文引用的文献

1
Technique and rationale for branch-first total aortic arch repair.分支优先全主动脉弓修复术的技术与原理
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2
Longer stent graft in frozen elephant trunk procedure: A fear or truth?在“冰冻象鼻”手术中使用更长的支架移植物：是担忧还是事实？
J Card Surg. 2021 Sep;36(9):3269-3270. doi: 10.1111/jocs.15761. Epub 2021 Jun 20.
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Midterm Outcomes of the Dissected Aorta Repair Through Stent Implantation Trial.经支架植入治疗主动脉夹层的中期结果试验。
Ann Thorac Surg. 2021 Feb;111(2):463-470. doi: 10.1016/j.athoracsur.2020.05.090. Epub 2020 Jul 13.
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Aortic arch repair with frozen elephant trunk versus conventional elephant trunk.带冷冻象鼻的主动脉弓修复术与传统象鼻手术的比较
Ann Cardiothorac Surg. 2020 May;9(3):223-225. doi: 10.21037/acs.2020.02.11.
5
Neurologic complications after the frozen elephant trunk procedure: A meta-analysis of more than 3000 patients.冷冻象鼻手术后的神经系统并发症：超过 3000 例患者的荟萃分析。
J Thorac Cardiovasc Surg. 2020 Jul;160(1):20-33.e4. doi: 10.1016/j.jtcvs.2019.10.031. Epub 2019 Oct 17.
6
Acute type I aortic dissection with or without antegrade stent delivery: Mid-term outcomes.急性 I 型主动脉夹层伴或不伴顺行支架输送：中期结果。
J Thorac Cardiovasc Surg. 2019 Nov;158(5):1273-1281. doi: 10.1016/j.jtcvs.2018.11.145. Epub 2019 Mar 9.
7
Commentary: Go "all in" the way they do in Texas-Or wait to see how the hand plays out? Extent of distal repair for acute type I dissection.评论：像在得克萨斯州那样“全力以赴”——还是等着看这手牌如何发展？急性I型主动脉夹层远端修复的范围
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8
Insights From the International Registry of Acute Aortic Dissection: A 20-Year Experience of Collaborative Clinical Research.国际急性主动脉夹层注册研究的启示：20 年的协作临床研究经验。
Circulation. 2018 Apr 24;137(17):1846-1860. doi: 10.1161/CIRCULATIONAHA.117.031264.
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Aortic Arch Reconstructive Surgery With Conventional Techniques vs Frozen Elephant Trunk: A Systematic Review and Meta-Analysis.主动脉弓重建术的传统技术与冷冻象鼻技术：系统评价和荟萃分析。
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