Therapeutic effect of situ fenestration by laser in intracavitary with stent covered a membrane implantation in the treatment of Stanford type A aortic dissection (aneurysm)
Abstract：Objective To investigate the short-term efficacy of aortic arch repair in combination with situ fenestration by laser in intracavitary with stent covered a membrane implantation in the treatment of Stanford type A aortic dissection (aneurysm).Methods Seven cases of Stanford type A aortic dissection (aneurysm) were treated with vivo repair of lumbar stent by laser in situ windowing technique in Liuzhou Worker's Hospital from November 2016 to May 2017.The 7 cases included 4 cases of intraoperative brachiocephalic trunk and left common carotid artery and left subclavian artery fenestration,2 cases of brachiocephalic trunk and left common carotid artery fenestration,1 case of left common carotid artery and left subclavian artery fenestration.Acute surgery was performed in 5 cases and chronic surgery in 2 cases.Results Thirteen conical aortic stent and fluency plus straight stent grafts were implanted in all the cases.There was one case (14.3％) died of intraoperative ascending aorta rupture and the incidence of early postoperative complications was 28.6％.All the cases were cured and discharged through treatment.The whole results of one month and three months follow-up showed the rupture of dissection (aneurysm) isolated,no endoleak,window smoothing.Conclusion Aortic arch internal fixation combined with intraocular laser in situ stent implantation is safe and effective in the treatment of Stanford type A aortic dissection (aneurysm).It has the following advantages of less trauma,quick recovery,high intraoperative success rate,low incidence of endoleak,which has good recent results.However,long-term efficacy still need further follow-up to confirm.
Keywords：aneurysmdissectioncardiopulraonary bypassendovascular repairfenestration in situ
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1385-1389 )