Abstract: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 stentgrafts 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 bypass vascular operations. In 6 cases the left subclavian artery (LSA) was covered by stentgraft at the endovascular therapy without bypass operation.
:Results:Eighteen cases of immediate innerleak were found after the stent placement, a rate of 28.13 % ( 18/64). No other severe complications occurred, such as stentgraft shift or error placement, aortic rupture, conversion to openoperation 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 followup 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 followup needs to be studied.