上海交通大学学报（医学版）

上海交通大学学报(医学版) ›› 2020, Vol. 40 ›› Issue (10): 1388-1392.doi: 10.3969/j.issn.1674-8115.2020.10.015

• 论著·临床研究 • 上一篇    下一篇

3D打印辅助预开窗及分支支架腔内修复术治疗累及内脏分支主动脉疾病的早期结果

李逢时，刘 光，刘晓兵#，陆信武#   

  1. 上海交通大学医学院附属第九人民医院血管外科, 上海交通大学医学院血管病诊治中心，上海 200011
  • 出版日期:2020-10-28 发布日期:2020-11-27
  • 通讯作者: 刘晓兵，电子信箱：benny_liuxb@163.com。陆信武，电子信箱：luxinwu@shsmu.edu.cn。#为共同通信作者。
  • 作者简介:李逢时（1995—），男，硕士生；电子信箱：lifengshi1995@foxmail.com。
  • 基金资助:
    国家自然科学基金（81970405，81870346）。

Early outcomes of 3D printing-assisted fenestrated/branched endovascular repair in treatment of aortic diseases involving visceral branches

LI Feng-shi, LIU Guang, LIU Xiao-bing#, LU Xin-wu#   

  1. Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; The Vascular Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2020-10-28 Published:2020-11-27
  • Supported by:
    National Natural Science Foundation of China (81970405, 81870346).

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摘要： 目的·评价应用3D打印辅助预开窗及分支支架腔内修复术（fenestrated/branched endovascular repair, f/ bEVAR）治疗累及内脏分支主动脉疾病的早期结果。方法·回顾性分析2019年5月—2020年5月上海交通大学医学院附属第九人民医院血管外科应用3D打印辅助f/bEVAR治疗的累及内脏分支主动脉疾病患者的临床资料，分析手术效果及围手术期并发症发生情况，并对早期随访结果进行评价。结果·共纳入13例患者，平均年龄（58.3±14.1）岁，其中男性11例（占84.6%）。其中腹主动脉瘤7例，夹层动脉瘤5例，降主动脉瘤1例。内脏分支动脉重建技术成功率94.7%，1例患者右肾动脉被主体支架覆盖，行平行支架技术重建。术后无肾动脉缺血及肠缺血相关并发症发生，无围术期死亡病例。平均随访时间（7.3±4.6）个月，随访期间无患者死亡，无靶器官受损相关症状出现，计算机断层扫描血管成像显示各分支血管血流通畅。结论·3D打印辅助f/bEVAR是一种安全、有效的治疗累及内脏分支主动脉疾病的方法。

关键词: 3D打印, 主动脉瘤, 主动脉夹层, 预开窗及分支支架腔内修复术

Abstract:

Objective · To evaluate the early outcomes of 3D printing-assisted fenestrated/branched endovascular repair (f/bEVAR) in the treatment of aortic diseases involving visceral branches. Methods · The clinical data of the patients with aortic diseases involving visceral branches treated by 3D printing-assisted f/bEVAR in the Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from May 2019 to May 2020 were retrospectively analyzed, including the surgical effect and the occurrence of perioperative complications. And the results of early follow-up were also evaluated. Results · A total of 13 patients were enrolled, including 11 males (84.6%), with an average age of (58.3±14.1) years. There were 7 cases of abdominal aortic aneurysm, 5 cases of dissecting aneurysm and 1 case of descending aorta aneurysm. The success rate of visceral branch artery reconstruction technique was 94.7%. One patient's right renal artery was covered by the main stent and was reconstructed by parallel stent technique. No postoperative complications, such as renal artery ischemia and intestinal ischemia, occurred, and the perioperative mortality rate was 0. The average follow-up time was (7.3±4.6) months. No patient died during the follow-up. No symptoms related to target organ damage occurred. The computed tomography angiography during follow-up showed that the blood flow of all branches was smooth. Conclusion · 3D printing-assisted f/bEVAR is a safe and effective method for the treatment of aortic diseases involving visceral branches.

Key words: 3D printing, aortic aneurysm, aortic dissection, fenestrated/branched endovascular repair (f/bEVAR)

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