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20 10 6 18 3 　ChinJInterventCardio,lJune20 10, Vol18, No3 ·12 1· ·· 　　　(EVAR)。 EVAR、 , , , 。, StandfordB (LSA)。 LSA (Stent-graft) 。 Stent-graft(graft) 15 mm, LSA 15 mm, LSA、 。 LSA , , 。《10 8 》 EVAR LSA , EVAR B, :(1) , , Graft。 (2 ), , , LSA, EVAR。 北京大学第 一医院血管介入科　邹英华 108 禹纪红　黄连军　蒋世良　金敬琳　常宗平　 滨 【】　　 。　 108 (B 94 , 14 )、。 2 (), , , 72 (A), 34 (B)。、LSA 、。　, 1, , 。 A (84 8 ±44 0 )mmHg(130 8±21 4 )mmHg, ;B 。(3 1 3 ±23 7 ), A 33 、, 。　, , LSA ;、 , 、 , LSA。 【】　, ;　;　, ;　, ;　;　;　 do:i10 3969 /jissn1004 -8812 2010 03 001 Analysisofthoracicaorticstent-graftplacementin108 caseswithinsufficentproxmialancherarea　 YUJ-ihong, HUANGLian-jun, JIANGShi-liang, JINJing-lin, CHANGZong-ping, LUBinDeparmtentof Radiology, PekingUnionMedicalColleg,eFuwaiHospitalandCardiovascInstitut,eBeijing1000 37, China 【Abstract】　Objective　Todiscussthestrategiesformanagementofinsufficientproxmialanchoring duringtransluminalstent-graftplacement(TSGP), andtoevaluatethesafetyofintentionalcoverageofthe leftsubclavianartery(LSA) Methods　Weretrospectivelyinvestigatedtheoutcomesandcomplications aftertheTSGPin108 casesofthoracicaorticcaseswithshortproxmialanchoringarea(94 aortic dissection,s14 aorticpseudoaneurysms)between2002 and2009 Theostium ofLSAwasintentionally coveredbystentgraftcompletelywithoutanysupportivebypassin7 2 patient,sandpartiallycoveredin34 patientsPrimaryprophylacticrevascularizationofLSAwasperformedonlyin2 patientsResults　 Technicalsuccesswaachievedinallcases.Onepatientdevelopedacutestrokeanddiedofrespiratoryand circulatoryfailureThirtythreepatientswithcompleteLSAcoveragehadmildclinicalsymptomsduringamean :100037 , ·122 · 20 10 6 18 3　ChinJInterventCardio,lJune20 10, Vol18, No3 follow-upof31 3