Minimally invasive endovascular treatment of descending aortic diseases.docVIP

 PAGE \* MERGEFORMAT 18 Minimally invasive endovascular treatment of descending aortic diseases Author: Shi Xin Bao Le-Bo Shao Feng Sun 【Abstract】 Objective To review the minimally invasive endovascular treatment of descending aortic diseases of experience and near mid-term results. Methods Summary hospital from April 2004 to November 2008 OK endovascular clinical data of 27 patients, including acute Stanford “B”-type dissection in 16 cases, descending aorta pseudoaneurysm l1 cases (including the five exceptions Traumatic pseudoaneurysm in the descending aorta, descending aorta in 5 cases of penetrating ulcer and 1 case of infected descending aortic pseudoaneurysm). Results 26 patients surgery was successful, a traumatic descending aortic rupture in patients with completely, because the guide wire into the ascending aorta can not be true cavity, minimally invasive surgery fails, switch to line descending thoracic aortic replacement surgery. Successful endovascular exclusion of 26 cases, all at once after descending aorta Break away, real-cavity to expand. Early postoperative death (1 case died 2 weeks after the operation bleeding gastric ulcer); internal leakage occurred in 2 cases of type Ⅰ, Ⅱ type 1 cases of internal leakage; no postoperative paraplegia, infection, complications such as distal embolization of vascular injuries. Successful endovascular exclusion of 26 patients discharged from hospital in 25 cases. Patients were followed up 1 month to 4 years, stent-graft patency, no shift, real cavity expanding false lumen to narrow or disappear. CT reviewed after 3 months, 2 cases of type Ⅰ internal leakage in 1 case disappeared completely internal leakage, and 1 to reduce internal leakage (continued follow-up), 1 patients with type Ⅱ no change in leakage. Conclusion Endovascular graft exclusion for Stanford “B”-type dissecting aneurysm and descending thoracic aortic pseudoaneurysm trauma, safe and reliable, near mid-term curative effect.