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生物胶在急性主动脉夹层中的应用。一种新手术技术的初步临床结果。

Use of biological glue in acute aortic dissection. Preliminary clinical results with a new surgical technique.

作者信息

Guilmet D, Bachet J, Goudot B, Laurian C, Gigou F, Bical O, Barbagelatta M

出版信息

J Thorac Cardiovasc Surg. 1979 Apr;77(4):516-21.

PMID:423584
Abstract

Use of a biological glue (GRF) is common in certain fields such as hepatic or renal surgery, but its use in vascular surgery, especially in acute aortic dissection, has not yet been reported. Our experience has demonstrated many advantages: The glue is very simple and safe to use. The aortic tissues are firmly reinforced and the sutures tighten immediately. The proximal aortic stump is anatomically reconstructed, and generally the aortic valve can be preserved and coronary reimplantation avoided. The preoperative and postoperative bleeding rates are low and the postoperative course generally is simple. The risk of maintenance or recurrence of the dissection process is reduced. Consequently, the hospital mortality rate can be reduced to about 10 percent and the long-term survival rate greatly improved.

摘要

生物胶水(GRF)在肝脏或肾脏手术等某些领域的使用很常见,但它在血管手术中的应用,尤其是在急性主动脉夹层手术中的应用尚未见报道。我们的经验显示出许多优点:这种胶水使用非常简单且安全。主动脉组织得到牢固加强,缝线立即收紧。主动脉近端残端在解剖学上得以重建,并且一般来说主动脉瓣能够得以保留,避免了冠状动脉再植入。术前和术后出血率低,术后病程通常较为简单。夹层过程持续或复发的风险降低。因此,医院死亡率可降至约10%,长期生存率大幅提高。

相似文献

1
Use of biological glue in acute aortic dissection. Preliminary clinical results with a new surgical technique.生物胶在急性主动脉夹层中的应用。一种新手术技术的初步临床结果。
J Thorac Cardiovasc Surg. 1979 Apr;77(4):516-21.
2
[Acute dissection of the aorta. A new surgical technique using a biological glue (author's transl)].[主动脉急性夹层。一种使用生物胶的新手术技术(作者译)]
Nouv Presse Med. 1979 Apr 14;8(17):1421-5.
3
Four-year clinical experience with the gelatin-resorcine-formol biological glue in acute aortic dissection.明胶-间苯二酚-甲醛生物胶用于急性主动脉夹层的四年临床经验
J Thorac Cardiovasc Surg. 1982 Feb;83(2):212-7.
4
Surgery of type A acute aortic dissection with Gelatine-Resorcine-Formol biological glue: a twelve-year experience.
J Cardiovasc Surg (Torino). 1990 May-Jun;31(3):263-73.
5
The proper use of glue: a 20-year experience with the GRF glue in acute aortic dissection.胶水的正确使用:GRF胶水在急性主动脉夹层中的20年应用经验
J Card Surg. 1997 Mar-Apr;12(2 Suppl):243-53; discussion 253-5.
6
Dissected aortic sinuses repaired with gelatin-resorcin-formaldehyde (GRF) glue are not stable on follow up.用明胶-间苯二酚-甲醛(GRF)胶水修复的解剖主动脉窦在随访中不稳定。
J Heart Valve Dis. 2002 Mar;11(2):249-57.
7
[Current treatment of acute dissections of the ascending aorta].[升主动脉急性夹层的当前治疗方法]
Arch Mal Coeur Vaiss. 1997 Dec;90(12 Suppl):1769-80.
8
Surgical treatment of acute type A dissecting aneurysm, with preservation of the native aortic valve and use of biologic glue. Follow-up to 6 years.
J Thorac Cardiovasc Surg. 1992 Feb;103(2):369-74.
9
[Surgery for acute aortic dissection extending to the aortic root using gelatine-resorcine-formol biological glue--a case report].[使用明胶-间苯二酚-甲醛生物胶治疗累及主动脉根部的急性主动脉夹层——病例报告]
Nihon Kyobu Geka Gakkai Zasshi. 1997 Jul;45(7):1024-7.
10
Aortic dissection: anatomic types and surgical approaches.主动脉夹层:解剖类型与手术方法
J Cardiovasc Surg (Torino). 1993 Feb;34(1):23-32.

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Association of hemodynamic factors and progressive aortic dilatation following type A aortic dissection surgical repair.升主动脉夹层手术后血流动力学因素与升主动脉进行性扩张的关系。
Sci Rep. 2021 Jun 1;11(1):11521. doi: 10.1038/s41598-021-91079-5.
2
Does BioGlue contribute to anastomotic pseudoaneurysm after thoracic aortic surgery?生物胶会导致胸主动脉手术后吻合口假性动脉瘤吗?
J Thorac Dis. 2017 Aug;9(8):2491-2497. doi: 10.21037/jtd.2017.06.120.
3
Late Echocardiographic Study of Aortic Valve and Aortic Root after Surgery for Type A Acute Aortic Dissection.
A型急性主动脉夹层手术后主动脉瓣及主动脉根部的晚期超声心动图研究
J Cardiovasc Echogr. 2016 Jul-Sep;26(3):78-82. doi: 10.4103/2211-4122.187948.
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Evolution of surgical therapy for Stanford acute type A aortic dissection.斯坦福A型主动脉夹层手术治疗的演变
Ann Cardiothorac Surg. 2016 Jul;5(4):275-95. doi: 10.21037/acs.2016.05.05.
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Results of "elephant trunk" total aortic arch replacement using a multi-branched, collared graft prosthesis.使用多分支带环移植假体进行“象鼻”全主动脉弓置换术的结果。
Heart Vessels. 2016 Mar;31(3):390-6. doi: 10.1007/s00380-014-0612-6. Epub 2014 Dec 10.
6
The use of surgical glue in acute type A aortic dissection.手术胶水在急性A型主动脉夹层中的应用。
Gen Thorac Cardiovasc Surg. 2014 Apr;62(4):207-13. doi: 10.1007/s11748-013-0343-0. Epub 2013 Nov 21.
7
An update on surgery for acute type A aortic dissection: aortic root repair, endovascular stent graft, and genetic research.急性A型主动脉夹层手术的最新进展:主动脉根部修复、血管内支架移植物及基因研究
Surg Today. 2009;39(4):281-9. doi: 10.1007/s00595-008-3887-3. Epub 2009 Mar 25.
8
Gelatin-resorcin-formalin (GRF) tissue glue as a novel technique for fixing prosthetic mesh in open hernia repair.明胶-间苯二酚-甲醛(GRF)组织胶作为开放疝修补术中固定补片的新技术。
Hernia. 2009 Jun;13(3):299-304. doi: 10.1007/s10029-009-0474-5. Epub 2009 Feb 19.
9
Surgery for acute aortic dissection using gelatin-resorcin-formalin glue: perspective from 10 years of follow-up at a single center.使用明胶-间苯二酚-甲醛胶治疗急性主动脉夹层:单中心10年随访的观点
J Artif Organs. 2008;11(1):19-23. doi: 10.1007/s10047-007-0402-3. Epub 2008 Apr 15.
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Late complications following surgery for type A acute aortic dissection using gelatin-resorcin-formaldehyde glue: report of two cases.使用明胶-间苯二酚-甲醛胶治疗A型急性主动脉夹层手术后的晚期并发症:两例报告
Surg Today. 2005;35(11):996-9. doi: 10.1007/s00595-005-3062-z.