Chen Weiqing, Liu Dabing, Chen Tao, Liu Jian, Guo Yi, Ye Bo
Department of Vascular Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, China.
Department of General Surgery, The People's Hospital of Ganxian District, Ganzhou, Jiangxi, China.
Front Cardiovasc Med. 2024 Mar 25;11:1351342. doi: 10.3389/fcvm.2024.1351342. eCollection 2024.
To investigate the clinical efficacy of Castor integrated branched aortic stent graft for the treatment of Stanford type B aortic dissection with insufficient anchoring area.
Retrospective analysis of clinical data of 26 patients with Stanford type B aortic dissection with insufficient anchoring region (<15 mm) treated by Castor branched aortic stent graft from September 2018 to June 2022 at Ganzhou People's Hospital, including 23 acute cases and 3 chronic cases.
Surgical procedures were successfully performed in all 26 patients, and during the perioperative period no complications occurred, such as cerebrovascular accident, stenosis or occlusion of left subclavian artery, progression of reverse avulsion of aortic dissection, and paraplegia. During the operation 2 patients had a small amount of type I endoleak, which disappeared during the postoperative follow-up. The other patients had good postoperative follow-up results. Review of the aortic CTA indicated good stent morphology with patency of the left subclavian artery.
The Castor integrated branched aortic stent graft expanded the indications for endoluminal treatment for Stanford type B aortic dissection, which can avoid open surgery and has good clinical outcomes.
探讨Castor一体化分支型主动脉覆膜支架治疗锚定区不足的Stanford B型主动脉夹层的临床疗效。
回顾性分析2018年9月至2022年6月在赣州市人民医院采用Castor分支型主动脉覆膜支架治疗的26例锚定区不足（<15 mm）的Stanford B型主动脉夹层患者的临床资料，其中急性病例23例，慢性病例3例。
26例患者手术均成功实施，围手术期未发生脑血管意外、左锁骨下动脉狭窄或闭塞、主动脉夹层逆行剥离进展及截瘫等并发症。术中2例患者出现少量Ⅰ型内漏，术后随访期间消失。其他患者术后随访效果良好。主动脉CTA复查显示支架形态良好，左锁骨下动脉通畅。
Castor一体化分支型主动脉覆膜支架扩大了Stanford B型主动脉夹层腔内治疗的适应证，可避免开放手术，临床效果良好。
