Objective: To explore the methods of the endovascular repair of aortic disease（aortic dissection and aortic aneurysm）.
:Methods :We retrospectively analysed 64cases of aortic diseases treated with endovascular repair, including 42cases of aortic dissection (38 were Stanford B, 4 were Stanford A) and 22 cases of aortic aneurysms. The stentgrafts were set into the aorta cavity to cover the damaged aortic intima through the femoral artery under local or general anesthesia; 4 cases also underwent bypass vascular operations. In 6 cases the left subclavian artery (LSA) was covered by stentgraft at the endovascular therapy without bypass operation.
:Results:Eighteen cases of immediate innerleak were found after the stent placement, a rate of 28.13 % ( 18/64). No other severe complications occurred, such as stentgraft shift or error placement, aortic rupture, conversion to openoperation or paraplegia.The blood flow of all the vital branches of aorta were obviously improved.The mortality in the perioperative period was 6.25 % (4/64 ), the time of followup was 1-78 months (mean 32 months).Reoperation was done in 2 cases of aortic aneurysm group and 2 cases of aortic dissection group.
:Conclusions:The endovascular repair is a good method for aortic disease. The short and middle term result is satistactory, and the long term followup needs to be studied.