贺行巍,曾和松,李柱锡,严江涛,周强,蒋建刚,郭小梅,马业新,魏翔,徐利军,刘立刚,胡敏

• 1:华中科技大学同济医学院附属同济医院心脏中心

摘要(Abstract)：

目的探索"一站式"Hybrid技术治疗复杂主动脉疾病的方法和临床疗效。方法纳入2012年7月至2014年12月于华中科技大学同济医学院附属同济医院采用"一站式"Hybrid手术治疗复杂主动脉疾病患者共33例,其中男31例,平均年龄(51.3±11.5)岁。33例患者中A型夹层4例、B型夹层累及主动脉弓部27例及主动脉弓瘤2例。A型夹层采取非深低温体外循环下行升主动脉置换+人工血管旁路移植术,其余患者均在全麻下行人工血管旁路移植术,之后所有患者均经股动脉入径数字减影血管造影(DSA)下行主动脉覆膜支架置入术。结果所有患者手术均成功,围术期因感染性休克死亡1例,其余均无偏瘫、截瘫、脑肺功能障碍、凝血障碍及严重感染等严重并发症发生且痊愈出院。术后平均随访13.5(3.7,24.7)个月,所有患者均存活,无严重并发症发生。1年后复查主动脉CT血管造影显示旁路人工血管及支架血流均通畅,支架无移位和内漏。结论 "一站式"Hybrid技术治疗复杂主动脉疾病,在简化手术复杂程度的同时也降低了死亡率和并发症发生率,具有较好的近期临床疗效,远期疗效有待于进一步观察。

关键词(KeyWords)： 主动脉夹层;主动脉弓瘤;“一站式”Hybrid技术;胸主动脉腔内修复术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 贺行巍,曾和松,李柱锡,严江涛,周强,蒋建刚,郭小梅,马业新,魏翔,徐利军,刘立刚,胡敏

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