首页|主动脉扩张性疾病腔内修复术中内脏分支动脉重建治疗专家共识(2024版)

主动脉扩张性疾病腔内修复术中内脏分支动脉重建治疗专家共识(2024版)

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主动脉扩张性疾病,特别是累及内脏分支动脉的部分病变,其治疗策略的选择和实施对临床医师是巨大挑战。随着腔内修复技术的进步,治疗方式逐渐从开放手术转向微创手术,明显降低了围手术期病死率和并发症发生率。然而,内脏动脉分支重建技术应用尚未普及,对于复杂病例处理方式的选择仍存在争议。鉴于此,中华医学会外科学分会血管外科学组、海峡两岸医药卫生交流协会血管外科分会、中国医师协会血管外科医师分会胸主动脉学组组织国内主动脉扩张性疾病内脏分支腔内重建治疗领域资深专家,基于临床实践和国内外文献的系统回顾,经过深入探讨制定了《主动脉扩张性疾病腔内修复术中内脏分支动脉重建治疗专家共识》。共识重点关注涉及内脏动脉分支重建的腔内技术,旨在为从事相关专业人员提供原则性指导,促进国内该领域诊疗水平的提升。
Expert consensus on endovascular reconstruction of visceral branch arteries in the treatment of aortic expansion diseases(2024 edition)
Aortic expansion diseases,especially those involving visceral branch arteries,pose significant challenges for clinicians in terms of treatment strategy selection and implementation.With the advancement of endovascular repair techniques,the mode of treatment is shifting gradually from open surgery to minimally invasive surgery,significantly reducing perioperative mortality and complication rates.However,the application of techniques for reconstructing visceral artery branches is not yet widespread,and there is considerable controversy in the management of complex cases.In response,the Vascular Surgery Group of Surgery Society of Chinese Medical Association,the Vascular Surgery Group of Cross-straits Medicine Exchange Association and the Thoracic Aorta Group of Vascular Surgeons Society of Chinese Medical Doctor Association convened relevant experts in China with extensive experience in the endovascular reconstruction of visceral branches for aortic expansion diseases,based on systematic reviews of clinical practice and domestic and international literature,and after in-depth discussions,have developed the Expert consensus on endovascular reconstruction of visceral branch arteries in the treatment of aortic expansion diseases(2024 edition).The consensus focuses on endovascular techniques involving the reconstruction of visceral artery branches,aiming to provide principled guidance for clinicians and to promote the improvement of diagnostic and treatment levels in this field within China.

Aortic diseasesAortic aneurysmAortic dissectionVisceral arterial branch reconstructionExpert consensus

中华医学会外科学分会血管外科学组、海峡两岸医药卫生交流协会血管外科分会、中国医师协会血管外科医师分会胸主动脉学组、王利新、陈忠、符伟国

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复旦大学附属中山医院血管外科,上海200032

首都医科大学附属北京安贞医院血管外科中心,北京100029

复旦大学附属中山医院厦门医院血管外科,厦门 361015

主动脉疾病 主动脉瘤 主动脉夹层 内脏动脉分支重建 专家共识

2025

中华外科杂志
中华医学会

中华外科杂志

北大核心
影响因子:1.611
ISSN:0529-5815
年,卷(期):2025.63(1)