主动脉夹层假腔栓塞术后的主动脉重塑
Aortic Remodeling After False Lumen Embolization in Aortic Dissection.
作者信息
Halloum Nancy, Meyer Anna-Sophie, Wenkel Martin, Dohle Daniel-Sebastian, Youssef Marwan, Dorweiler Bernhard, Treede Hendrik, El Beyrouti Hazem
机构信息
Department of Cardiac and Vascular Surgery, University Medical Centre Mainz, Johannes Gutenberg University, 55131 Mainz, Germany.
Department for Vascular Surgery, Asklepios Nord Clinic, 22417 Hamburg, Germany.
出版信息
J Clin Med. 2025 Jan 24;14(3):763. doi: 10.3390/jcm14030763.
: Retrograde false lumen perfusion after thoracic endovascular aortic repair (TEVAR) can compromise positive remodeling and clinical outcomes. The aim of this study is to describe the feasibility and outcomes of a false lumen thrombosis technique. : A single-center, retrospective analysis of patients between January 2017 and January 2022 who underwent TEVAR in conjunction with false lumen embolization. : Twelve patients (83% type A, 17% type B; 33% with frank rupture; mean age 65 years; eleven men) underwent 13 false lumen embolization procedures with a 92% technical success rate and a 100% clinical success rate. Positive aortic remodeling was observed in all the patients. The maximum thoracic aortic diameter remained stable ( = 0.526) but the true lumen increased from 22 to 33 mm ( = 0.009) and the false lumen decreased from 41 to 20 mm ( = 0.076) after a median follow-up of 31 months. : False lumen embolization using the candy-plug is safe and promotes positive aortic remodeling.
胸主动脉腔内修复术（TEVAR）后逆行性假腔灌注会影响正向重塑和临床结局。本研究的目的是描述一种假腔血栓形成技术的可行性和结局。：对2017年1月至2022年1月期间接受TEVAR联合假腔栓塞的患者进行单中心回顾性分析。：12例患者（83%为A型，17%为B型；33%有明确破裂；平均年龄65岁；11例男性）接受了13次假腔栓塞手术，技术成功率为92%，临床成功率为100%。所有患者均观察到主动脉正向重塑。中位随访31个月后，胸主动脉最大直径保持稳定（P = 0.526），但真腔从22 mm增加到33 mm（P = 0.009），假腔从41 mm减少到20 mm（P = 0.076）。：使用糖塞进行假腔栓塞是安全的，并可促进主动脉正向重塑。
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