医学
支架
外科
主动脉夹层
主动脉修补术
血管内治疗
栓塞
管腔(解剖学)
解剖(医学)
放射科
动脉瘤
主动脉
作者
Lingshan Xu,Zhongwu Lai,Jian-Fu Shao,Kang Li,X. Y. Zhang,Jun Ma,B. X. Liu
出处
期刊:Chinese journal of surgery
日期:2021-08-01
卷期号:59 (8): 711-715
标识
DOI:10.3760/cma.j.cn112139-20201011-00746
摘要
Currently, thoracic endovascular aortic repair (TEVAR) is the first-line treatment for patients with complicated Stanford type B aortic dissections. However, TEVAR does not occlude the distal entry tear of dissections, and blood flow persists in the false lumen. Dissections might progress in some patients. Studies showed that distal entry tear increased the possibility of late aortic events during follow-up. Thus, treatment of distal entry tear is necessary in some high-risk patients after TEVAR. In this article, the current treatment strategies of distal entry tear are summarized, which include PETTICOAT, STABILISE, covered stent, fenestrated and branched stent-grafts, false lumen embolization, vascular occluder, and Knickerbocker. However, the number of the cases of most approaches is so limited that the indications and effectiveness need to be further studied. Selecting the right treatment for the right patient is of great importance.
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