Abstract:
BACKGROUND:This study is to investigate the causes, treatment methods, and preventive measures of retrograde type A aortic dissection (RAAD) complicating thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD). METHODS:From January 2005 to December 2013, 360 TBAD patients receiving TEVAR were enrolled in this study. Among them, 304 cases were male and 56 cases were female. They were from 19 to 85 years old, with a mean age of 52 ± 12.8 years old. The average follow-up time was 32 ± 11.3 months (3-63 months), the follow-up rate was 69.1% (249 cases), and the lost rate was 30.9% (111 cases). The reasons and the treatment methods of RAAD complicating TEVAR for TBAD were analyzed. RESULTS:There were 5 cases of RAAD complicating TEVAR in TBAD (1.4%) patients, among them, 4 cases were male and 1 case was female. TEVAR operation failed in 1 case because of RAAD occurrence during TEVAR. This case was treated with open operation. In the other 4 cases, TEVAR operation was successfully carried out. During follow-up, RAAD was found in 3 cases within 1 month after TEVAR and in 1 case at 1 year after TEVAR. Conservative treatment was applied to 2 cases, whereas surgical operation treatment was performed in the other 3 cases. One case of conservative treatment patient was dead, and the other 4 cases are still alive. CONCLUSIONS:Incomplete design of stent-graft system, rough handling and presence of vascular wall lesions are the main reasons of RAAD complicating TEVAR for TBAD. Surgical operation is the most effective treatment measure for RAAD complicating TEVAR for TBAD.
journal_name
Ann Vasc Surgjournal_title
Annals of vascular surgeryauthors
Wang G,Zhai S,Li T,Shi S,Zhang Z,Liang K,Fu X,Zhang K,Li K,Li W,Wang B,Zhang D,Lu Ddoi
10.1016/j.avsg.2015.09.028subject
Has Abstractpub_date
2016-04-01 00:00:00pages
111-8eissn
0890-5096issn
1615-5947pii
S0890-5096(16)30010-3journal_volume
32pub_type
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journal_title:Annals of vascular surgery
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journal_title:Annals of vascular surgery
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journal_title:Annals of vascular surgery
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更新日期:2011-11-01 00:00:00
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journal_title:Annals of vascular surgery
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