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慢性胸腹主夹层动脉瘤治疗进展

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主动脉夹层是一种高死亡率疾病.急性主动脉夹层因时间的急迫性,诊治流程和策略遵循具体的指南指导方针,然而慢性主动脉夹层患者往往被忽视.选择最佳的药物治疗和手术干预措施仍具有挑战性,目前仍缺乏指南建议.伴随近年来主动脉疾病的影像学诊断方法的改进、腔内手术技术的进步和血管腔内移植物新器械的研发,慢性主动脉夹层治疗相关的临床资料也在逐渐增加.本文总结了目前慢性主动脉夹层诊治的新技术以及相关临床研究结果,期望为慢性主动脉夹层的诊治提供新的建议.
Advancements in the treatment of chronic thoracoabdominal aortic dissection
Aortic dissection is a disease with high mortality rates.Due to the urgency of time,the diagnosis,treatment processes,and strategies of acute aortic dissection follow specific guidelines.However,patients with chronic aortic dissection are often neglected.Choosing the best medication therapy and surgical interventions remains challenging,and there is still a lack of guideline recommendations.With the improvement of imaging diagnostic methods for aortic diseases,the progress of endovascular surgical techniques,and the development of new endovascular graft devices in recent years,clinical data of the treatment of chronic aortic dissection is also gradually increasing.This article summarized the current new technologies and clinical research results for the diagnosis and treatment of chronic aortic dissection,aiming to provide new suggestions for the diagnosis and treatment of chronic aortic dissection.

chronic aortic dissectionthoracic endovascular arotic repairendovascular graft

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复旦大学附属中山医院血管外科(上海 200032)

复旦大学血管外科研究所(上海 200032)

国家放射与治疗临床研究中心(上海 200032)

慢性主动脉夹层 胸主动脉腔内修复术 腔内移植物

2024

中国普外基础与临床杂志
四川大学华西医院

中国普外基础与临床杂志

CSTPCD
影响因子:0.858
ISSN:1007-9424
年,卷(期):2024.31(6)