杂交手术治疗活动期炎性Ⅳ型胸腹主动脉瘤.ppt

“杂交”手术治疗活动期炎性Ⅳ型胸腹主动脉瘤 冯 翔 上海长海医院血管外科 病史 治疗计划 一期去分支：2011-6-10 一期去分支： 一期去分支： 二期腔内：2011-6-16 二期腔内： 二期腔内： 术后随访：2011-7-4 TAAA杂交手术的发展历程 1999 Quinones-Baldrich (The first case) Repair of type Ⅳ thoracoabdominal aortic aneurysm with a combined endovascular and surgical approach 1999;30:555-560 2006 Black SA(St Mary’s Hospital, London) 29 cases Complex thoracoabdominal aortic aneurysm:endovascular exclusion with visceral revascularization 2006;43:1081-1089 The same team published 81 cases in 2009 2009 Chiesa R(Milan) 34 cases Is hybrid procedure the best treatment option for thoracoabdom