[Research advances in the aortic remodeling after thoracic endovascular aortic repair therapy of Stanford type B aortic dissection]

Zhonghua Wai Ke Za Zhi. 2018 Jun 1;56(6):477-480. doi: 10.3760/cma.j.issn.0529-5815.2018.06.018.
[Article in Chinese]

Abstract

Aortic dissection is one of the most common vascular emergent disease. Thoracic endovascular aortic repair (TEVAR) therapy which created the new era of treatment of Stanford type B aortic dissection (TBAD) has gradually replaced the surgical treatment and becomes the gold standard for treatment of TBAD. Aortic remodeling after TEVAR is the key factor to evaluate the mid-term survival rate and successful treatment of the aortic dissection victims. However, there are few studies on aortic remodeling and lack of unified criteria to evaluate it. This article was to summarize the domestic and abroad research advances which focused on the morphological changes, the regularity, and the evaluation criteria of aorta remodeling after TEVAR.

主动脉夹层是血管外科常见急症之一。胸主动脉腔内修复术(TEVAR)开启了Stanford B型主动脉夹层(TBAD)外科治疗的新纪元,成为TBAD治疗的金标准。TEVAR术后的主动脉重塑,是评估主动脉夹层患者中期生存率及治疗成功的关键标志,但目前尚缺乏评价TEVAR术后主动脉重塑的统一标准。本文根据国内外相关研究进展,对TEVAR术后的主动脉重塑形态学变化、主动脉重塑规律以及评价标准等进行综述。.

Keywords: Aneurysm, dissecting; Aortic aneurysm; Aortic remodeling; Thoracic endovascular aortic repair.

MeSH terms

  • Aortic Aneurysm, Thoracic* / therapy
  • Aortic Dissection* / therapy
  • Blood Vessel Prosthesis Implantation*
  • Endovascular Procedures*
  • Humans
  • Retrospective Studies
  • Treatment Outcome