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目的研究带膜支架术治疗DeBakeyⅢ型主动脉夹层的技术及疗效。方法对12例DeBakeyⅢ主动脉夹层带膜支架植入术治疗的临床资料回顾性分析。所有患者左桡动脉穿刺主动脉造影,了解主动脉真假腔位置、夹层裂口及其与主要分支血管位置关系。切开右股动脉置入带膜支架,封堵原发破口,置入后主动脉造影复查。结果所有患者支架置入定位准确,术后即刻造影显示真腔明显扩大,假腔没有显影。无严重并发症。随访均恢复良好。结论带膜支架植入术治疗DeBakeyⅢ型主动脉夹层具有简捷、微创、并发症少、术后恢复快等优点。
Objective To study the technique and efficacy of stenting with DeBakey Ⅲ aortic dissection. Methods The clinical data of 12 cases of DeBakey Ⅲ aortic dissection with stent-graft were retrospectively analyzed. All patients with left radial artery puncture aorta angiography, to understand the true and false lumen aortic position, dissection and its relationship with the main branches of blood vessels. Incision of the right femoral artery into the stent with a stent, blocking the primary break, after posterior aortic angiography review. Results All patients with stents placed accurately, immediately after angiography shows true cavity was significantly enlarged, false lumen without imaging. No serious complications. All patients recovered well. Conclusion Stenting with stent-graft for DeBakey Ⅲ aortic dissection has the advantages of simple, minimally invasive, less complications and quick recovery after operation.