胸-腹主动脉型大动脉炎腔内治疗的误区.pdf

‘7· 堕塞堡望迟渔垫!垒生!旦箜望鲞箜i塑垦!迦型丛i堂垒毂!坐鱼些!!堕!!业!!!!!：兰!：盟!：!!丛!丝!垫!兰 胸一腹主动脉型大动脉炎腔内治疗的误区 刘 暴，刘昌伟，陈跃鑫 [摘要]胸一腹主动脉型大动脉炎治疗目前已有了较大进展，腔内治疗逐渐成为一种成熟的、可选择的治疗方式。 本文就胸一腹主动脉型大动脉炎腔内治疗指征掌握、治疗前后用药选择进行了总结，重点阐述在腔内治疗过程中需要注 意的技术要点和误区，如外科手术和腔内治疗优劣判断、支架种类和型号选择的方式等，以期提高大动脉炎腔内治疗的 疗效和安全性。 [关键词] 主动脉，腹；主动脉，胸；动脉炎；血管成形术 [中国图书资料分类号】R543．5 【文献标志码]A [DOI] 10．3969／j．issn．1002．3429．2014．03．003 ofThoracic-abdominalAortoarteritis PointsonEndovascularTreatment Wronged ofCardiovascular UnionMedical LIU College，Beijing Bao，LIUChang—wei，CHENYue—xin(DepartmentSurgery，Beijing Union 100730，China) Hospital，Beijing Researchontreatmentofthoracic—abdominal obtained inrecent aortoarteritis(TA)hasgreat [Abstract] progresses endovascularaortic oneofthemost treatment articleaimstore· years，with repair(EVAR)beingdeveloped techniques．This theindicationforEVAR ofTAaswellasthe on viewandsummarize selection，with procedure peri—proceduredrug emphasize technicaland endovascular arediscussedfromvarious suchasthe e· key pointspitfallsduring therapy，which aspects superiority valuationbetween and selectionofbrand／modelofthestentsetcinorderto the and efficacy surgeryintervention，the improve ofendovasculartreatmentofTA． safety words [Key 3 Aorta，abdominal；Aorta，thoracic；Arteritis；Angioplasty arteritis，TA)是一种行，上肢血压高于下肢≥20 多发性大动脉炎(takayasu’s mmHg；③影像学检查证