Hybrid技术在复杂主动脉病变治疗中的应用

Application of hybrid procedure in complex aortic diseases

摘要:

目的：探讨杂交技术在复杂主动脉病变应用。 方法：回顾性分析2007年8月—2012年8月采用Hybrid技术治疗的12例复杂主动脉病变患者的临床资料，其中主动脉夹层9例，胸腹主动脉瘤3例，手术方式主要为各种人工血管旁路术联合覆膜支架腔内修复术。 结果：所有患者均取得技术成功。1例主动脉夹层患者术后出现支架近心端1型内漏，未予处理，1例主动脉夹层患者围手术期死于严重纵膈内感染，余患者术后康复良好。8例患者随访3个月至2年，均存活良好，未发现内漏及其他并发症。 结论：Hybrid技术是治疗复杂主动脉病变一种合理的可选择方案。

Abstract:

Objective: To investigate the application of hybrid procedure in treatment of complex aortic diseases. Methods: The clinical data of the 12 patients with complex aortic disease undergoing hybrid treatment from August 2007 to August 2012 were retrospectively analyzed. Of the patients, 9 cases had aortic dissection, and 3 cases had thoracoabdominal aortic aneurysm. The procedures included various prosthetic bypass graftings combined with endovascular covered stent placement. Results: Technical success was achieved in all patients. Proximal type I endoleak occurred in one patient with aortic dissection after operation, for which no treatment was given; one patients with aortic dissection died during perioperative period due to severe mediastinal infection; the rest of the patients recovered well after operation. Follow-up was obtained in 8 patients for 3 months to 2 years, and all of them were alive without endoleak or other complications. Conclusion: Hybrid procedure is a viable alternative to patients with complex aortic diseases.