Outcome of endovascular aortic repair under digital subtraction angiography in the treatment of Stanford type B aortic dissection

WU Jian-qiang; WANG Zheng; WEN Zhi; TIAN Ming-wu; LYU Jing; WU Chang-xue

doi:10.11659/jjssx.12E023052

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Outcome of endovascular aortic repair under digital subtraction angiography in the treatment of Stanford type B aortic dissection

Clinical Research | 更新时间：2025-01-16

- Outcome of endovascular aortic repair under digital subtraction angiography in the treatment of Stanford type B aortic dissection
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 1, Pages: 28-31(2025)
- 作者机构：
  
  德阳市人民医院心胸血管外科，四川德阳 618000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.12E023052
  CLC： R543.1
- Published：25 January 2025，
  
  Received：13 December 2023，
- 稿件说明：
移动端阅览
WU JIAN-QIANG, WANG ZHENG, WEN ZHI, et al. Outcome of endovascular aortic repair under digital subtraction angiography in the treatment of Stanford type B aortic dissection. [J]. Journal of regional anatomy and operative surgery, 2025, 34(1): 28-31.
DOI：

WU JIAN-QIANG, WANG ZHENG, WEN ZHI, et al. Outcome of endovascular aortic repair under digital subtraction angiography in the treatment of Stanford type B aortic dissection. [J]. Journal of regional anatomy and operative surgery, 2025, 34(1): 28-31. DOI： 10.11659/jjssx.12E023052.

摘要

目的

探讨数字减影血管造影（DSA）下腔内隔绝术治疗Stanford B型主动脉夹层（TBAD）的效果。

方法

选取2019年10月至2022年10月本院收治的104例TBAD患者，将采用最佳药物治疗（BMT）的52例患者纳入BMT组，在BMT基础上行DSA下腔内隔绝术的52例患者纳入联合组。比较2组患者治疗前后急性生理和慢性健康状况Ⅱ（APACHEⅡ）评分、血清炎症因子、肝肾功能指标、凝血功能指标及住院时间。

结果

联合组患者治疗后APACHEⅡ评分、肝肾功能指标及炎症因子水平低于治疗前和BMT组（

0.05）。联合组患者治疗后凝血功能指标水平变化较治疗前和BMT组显著（

0.05）。联合组患者住院时间短于BMT组（

0.05）。

结论

DSA下腔内隔绝术治疗TBAD能减轻炎症反应，改善肝肾功能和凝血功能，缩短住院时间，疗效优于药物保守治疗。

Abstract

Objective

To investigate the outcome of endovascular aortic repair under digital subtraction angiography （DSA） in the treatment of Stanford type B aortic dissection （TBAD）.

Methods

A total of 104 TBAD patients admitted to our hospital from October 2019 to October 2022 were selected， of which 52 patients treated with best medication treat （BMT） were included into the BMT group， and 52 patients who underwent endovascular aortic repair under DSA on the basis of BMT were included into the combination group. The acute physiological and chronic health evaluation Ⅱ （APACHEⅡ） score， serum inflammatory indicators， liver and kidney function indicators， and coagulation function indicators before and after treatment， and hospital stay were compared between the two groups.

Results

The APACHEⅡ score， liver and kidney function indicators and inflammatory factors after treatment in the combination group were lower than those before treatment and in the BMT group （

0.05）. The combination group had more significant changes of coagulation function indicators after treatment than those before treatment and in the BMT group （

0.05）. The hospital stay of the combination group was shorter than that of the BMT group （

0.05）.

Conclusion

Endovascular aortic repair under DSA for TBAD can reduce inflammatory response， improve liver and kidney functions and coagulation function， and shorten the hospital stay， which has a better therapeutic effect than conservative drug treatment.

关键词

数字减影血管造影腔内隔绝术Stanford B型主动脉夹层最佳药物治疗炎症反应疗效

Keywords

digital subtraction angiographyendovascular aortic repairStanford type B aortic dissectionbest medication treatinflammatory responsecurative effect

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