Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
Supervisor：Ministry of Education of People’s Republic of ChinaSponsor：Sichuan University Editor-in-chief：Liu Lunxu Publishing period：
Monthly
ISSN：1007-4848CN：51-1492/R
目的 探討 3D 打印輔助復雜胸主動脈血管病變 Castor 分支支架腔內修復手術治療的可行性。方法 納入 2018 年 9～12 月急性 Stanford B 型主動脈夾層或主動脈弓部血管病變擬行腔內介入支架手術的 4 例患者，年齡分別為 65、55、45、39 歲。患者均缺乏足夠的左鎖骨下近端錨定區，或病變累及弓部血管無法采用常規單純支架置入術。手術均采用 Castor 分支支架，術前采用三維 CT 血管造影（3D-CTA）及 3D 打印技術對主動脈弓部血管解剖進行精確刻畫，并輔助手術策略制定及進行器械模擬植入。結果 3 例為累及左鎖骨下動脈的 Stanford B 型夾層（1 例合并升主動脈瘤），1 例為主動脈弓部穿通性潰瘍。4 例患者手術順利，1 例患者同期行體外循環升主動脈置換。患者術后 CTA 提示效果滿意，無內漏、支架移位及卒中等嚴重并發癥出現，30 d 隨訪患者狀態良好，無不良嚴重并發癥出現。結論 3D 打印輔助復雜胸主動脈血管病變分支支架腔內修復手術具有很好的可行性及諸多潛在優勢。
Citation：李曉莉, 何平, 張大勇, 王漢, 張本貴. 3D打印輔助復雜胸主動脈血管病變分支支架腔內修復手術治療的臨床分析. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(2): 223-227. doi: 10.7507/1007-4848.201907017Copy
Copyright ? the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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1. Dake MD, Kato N, Mitchell RS, et al. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med, 1999, 340(20): 1546-1552.
2. Xiong J, Jiang B, Guo W, et al. Endovascular stent graft placement in patients with type B aortic dissection: a meta-analysis in China. J Thorac Cardiovasc Surg, 2009, 138(4): 865-872.
7. Saito N, Kimura T, Odashiro K, et al. Feasibility of the Inoue single-branched stent-graft implantation for thoracic aortic aneurysm or dissection involving the left subclavian artery: short- to medium-term results in 17 patients. J Vasc Surg, 2005, 41(2): 206-212.
8. Roselli EE, Arko FR 3rd, Thompson MM, et al. Results of the valiant mona LSA early feasibility study for descending thoracic aneurysms. J Vasc Surg, 2015, 62(6): 1465-1471.
9. Finotello A, Marconi S, Pane B, et al. Twelve-year follow-up post-thoracic endovascular repair in type b aortic dissection shown by three-dimensional printing. Ann Vasc Surg, 2019, 55: 309.e13-309.e19.
10. Kim WK, Kim T, Lee S, et al. 3d-printing-based open repair of extensive thoracoabdominal aorta in severe scoliosis. Semin Thorac Cardiovasc Surg, 2019, 31(1): 61-63.
11. Yuan D, Luo H, Yang H, et al. Precise treatment of aortic aneurysm by three-dimensional printing and simulation before endovascular intervention. Sci Rep, 2017, 7(1): 795.
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