JOURNAL OF CLINICAL SURGERY ›› 2018, Vol. 26 ›› Issue (11): 818-821.doi: 10.3969/j.issn.10056483.2018.11.006

Previous Articles     Next Articles

Application analysis of guide wirecapture technique in the endovascular stent repair for Stanford B aortic dissection

  

  1. Department of Cardiothoracic surgery,the First hospital of Hunan University of Chinese Medicine,Changsha 410007,China
  • Received:2018-06-16 Online:2018-11-20 Published:2018-12-03

Abstract: Objective    To investigate and analysis the treatment of Guide wirecapture technique in the endovascular stent repair for Stanford B aortic dissection.Method  67 consecutive patients with complex Stanford B aortic dissection.Our patients cohort were divided into those applied with retrograde technique endovascular stent repair(group A,n=57) and anterograde Guide wirecapture technique(group B,n=10).Compared the general characteristics,true and false lumen diameter,Xray exposure time,total surgical time and analysis the correlation between intimal rupture number and Xray exposure time.Result  There was no significant difference in success rate between group A and B(85.1% vs 100.0%,P>0.05).The intimal rupture number(Group A:1.9±0.8,Group B:3.4±0.8,P<0.05),tissue or organ poor perfusion case of group B(60.0%) was higher than that of group A(15.8%,P<0.05).The false lumen diameter of group B[(29.6±9.1)mm] was wider than that of group A[(21.7±7.4)mm,P<0.05)].3 patients of group A suffer from the left upper limb poor perfusion syndrome and conducted with rightleft axillary artery bypass.1 patient of group B suffered reversely tore after operation and progressed to A type aortic dissection,then conducted with Sun’ surgery and been completely reversed.The operation time and Xray exposure time of group B[(174.2±26.2)min and(522.9±67.4)s] was longer than that of groupA[(147.8±22.6)min and(267.1±29.1)s,P<0.05)].We conclude that the Xray exposure time may positively correlated with the intimal rupture number(R2=0.47,95%CI: 0.1051~0.9197,P<0.05).In most cases,followup was maintained and no obvious leakage occurred. Conclusion  We concluded that the increased intimal rupture number may increase the degree of surgical difficulty and the Xray exposure time.Guide wirecapture technique in the endovascular stent repair for complicated Stanford B aortic dissection  may be a safe  and reliable manner.

Key words: aortic dissection, guide wirecapture technique, intimal rupture, 〓ray exposure time

No related articles found!
Viewed
Full text
386
HTML PDF
Just accepted Online first Issue Just accepted Online first Issue
0 0 0 0 0 386

  From Others local
  Times 84 302
  Rate 22% 78%

Abstract
542
Just accepted Online first Issue
0 0 542
HTTP500 内部服务器出错

http500错误

http 500内部服务器错误,请与管理员联系。

请尝试以下操作:

·打开主页,然后查找指向您感兴趣信息的链接。
·单击后退链接,尝试其他链接。
错误:java.util.ConcurrentModificationException
错误码:500
异常:null
exception:java.util.ConcurrentModificationException
cause:null
message:null
localizedMessage:null
stackTrace:java.util.ConcurrentModificationException at java.util.HashMap$HashIterator.nextNode(HashMap.java:1437) at java.util.HashMap$KeyIterator.next(HashMap.java:1461) at com.lyt.util.filter.CountDayBrowseFilter.docurrent(CountDayBrowseFilter.java:99) at com.lyt.util.filter.CountDayBrowseFilter.doFilter(CountDayBrowseFilter.java:43) at com.lyt.util.HttpFilter.doFilter(HttpFilter.java:46) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at org.tuckey.web.filters.urlrewrite.RuleChain.handleRewrite(RuleChain.java:164) at org.tuckey.web.filters.urlrewrite.RuleChain.doRules(RuleChain.java:141) at org.tuckey.web.filters.urlrewrite.UrlRewriter.processRequest(UrlRewriter.java:90) at org.tuckey.web.filters.urlrewrite.UrlRewriteFilter.doFilter(UrlRewriteFilter.java:406) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at com.lyt.util.filter.UrlRedirectFilter.doFilter(UrlRedirectFilter.java:52) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at com.magtech.filter.UserGroupMapFilter.doFilter(UserGroupMapFilter.java:39) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at com.magtech.filter.XssFilter.doFilter(XssFilter.java:57) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at com.lyt.util.web.CharacterEncodingFilter.doFilter(CharacterEncodingFilter.java:44) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at com.lyt.util.filter.JournalIDFilter.doFilter(JournalIDFilter.java:146) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at com.lyt.util.filter.ReadRequestRefererFilter.doFilter(ReadRequestRefererFilter.java:32) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at com.lyt.util.filter.AuthenticationFilter.doFilter(AuthenticationFilter.java:89) at com.lyt.util.HttpFilter.doFilter(HttpFilter.java:46) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:235) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:206) at org.apache.catalina.core.StandardWrapperValve.invoke(StandardWrapperValve.java:233) at org.apache.catalina.core.StandardContextValve.invoke(StandardContextValve.java:191) at org.apache.catalina.core.StandardHostValve.invoke(StandardHostValve.java:127) at org.apache.catalina.valves.ErrorReportValve.invoke(ErrorReportValve.java:103) at org.apache.catalina.valves.RemoteIpValve.invoke(RemoteIpValve.java:652) at org.apache.catalina.valves.AccessLogValve.invoke(AccessLogValve.java:617) at org.apache.catalina.core.StandardEngineValve.invoke(StandardEngineValve.java:109) at org.apache.catalina.connector.CoyoteAdapter.service(CoyoteAdapter.java:293) at org.apache.coyote.http11.Http11AprProcessor.process(Http11AprProcessor.java:876) at org.apache.coyote.http11.Http11AprProtocol$Http11ConnectionHandler.process(Http11AprProtocol.java:612) at org.apache.tomcat.util.net.AprEndpoint$Worker.run(AprEndpoint.java:1777) at java.lang.Thread.run(Thread.java:745)

Cited

Web of Science  Crossref   ScienceDirect  Search for Citations in Google Scholar >>
 
This page requires you have already subscribed to WoS.
  Shared   
  Discussed   
[1] TAO Jun, WANG Guihe. Predictive factor analysis of pathological complete response in patients with locally advanced rectal cancer after neoadjuvant chemoradiotherapy[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(10): 756 -759 .
[2] PENG Yinjie, LI Yin, CHEN Weipeng, et al. prognostic analysis on esophagectomy and endoscopic therapy for elderly patients with cT1N0M0 esophageal cancer:a SEER database[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(9): 651 -656 .
[3] LIN Peida, HUANG Jiaqi, LU Huaxiang, et al. Safety and early efficacy analysis of pharmacomechanical thrombectomy for the treatment of trauma patients with lower extremity deep venous thrombosis[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(11): 810 -813 .
[4] HUANG Yi, LI Mengfan, HUANG Rong. High ligation of great saphenous vein combined with endovenous laser closure and foam sclerotherapy for chronic varicose veins of lower extremities:a comparative study[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(11): 814 -817 .
[5] ZHAO Xuanzhong, JIN Zhihong, XIE Xiaoliang. ProUK and catheterdirected thrombolysis for acute lower extremity arterial thrombosis[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(11): 822 -824 .
[6] MA Renjie, HE Qi, ZHANG Haiwei, et al. Recent efficacy and safety of laparoscopic totally extraperitoneal implantation in treatment of inguinal hernias[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(11): 862 -864 .
[7] HAN Yanlong, ZHANG Cheng, CHEN Dongming, et al.. Endoscopic surgical treatment of 52 cases of prolactinoma[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(11): 831 -834 .