| 肖景文,禄韶英.Stanford B型胸主动脉夹层腔内修复术后假腔管理与主动脉重塑研究进展[J].中国临床保健杂志,2026,29(2):179-183. |
| Stanford B型胸主动脉夹层腔内修复术后假腔管理与主动脉重塑研究进展 |
| Advances in the management of residual false lumen and aortic remodeling following thoracic endovascular aortic repair in Stanford Type B aortic dissection |
| 投稿时间：2026-03-10 |
| DOI：10.3969/J.issn.1672-6790.2026.02.007 |
| 中文关键词: 血管成形术 主动脉夹层 血管重塑 血液灌注 |
| 英文关键词: Angioplasty Aortic dissection Vascular remodeling Hemoperfusion 〖FL |
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| 中文摘要: |
| Stanford B型主动脉夹层(TBAD)是一种临床常见且危重的主动脉病变。胸主动脉腔内修复术(TEVAR)具有创伤小、恢复快的优点,已成为该疾病的主要手术治疗手段。TEVAR术后残余假腔的处理与预后成为当前临床痛点。本文系统梳理了国内外文献,结合相关学会指南,发现TEVAR术后假腔持续灌注仍是当前面临的主要挑战,而新兴腔内技术在假腔栓塞、促进主动脉重塑方面表现出良好的前景。 |
| 英文摘要: |
| Stanford Type B aortic dissection (TBAD) represents a prevalent and life-threatening aortic pathology.Thoracic endovascular aortic repair (TEVAR) has supplanted open surgery as the principal therapeutic modality,offering minimally invasive access and accelerated recovery.Nevertheless,the persistence of perfused false lumen following TEVAR constitutes a critical unresolved challenge,predisposing patients to aneurysmal degeneration and late adverse events.This article systematically reviews core literature from both domestic and international sources,and combines it with guidelines from vascular-related societies both domestically and internationally.It is found that continuous perfusion of the false lumen after TEVAR remains a major challenge at present,while emerging endovascular techniques show promising prospects in terms of embolizing the false lumen and promoting aortic remodeling. |
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