Endoluminal treatment of Stanford type B aortic dissection and its optimal timing of intervention

doi:10.3969/j.issn.1009-976X.2025.02.009

Abstract

Abstract: Stanford B aortic dissection is an aortic disease with a high mortality rate, and its treatment is extremely important. With the advancement of TEVAR technology, an increasing number of clinicians perform endovascular treatment for patients with aortic dissections beyond the traditional scope of type B. However, no study has yet clarified the optimal time window for endovascular treatment of patients with StanfordB aortic dissection. The current mainstream view is that intervention during the acute phase is more conducive to patient prognosis, while intervention during the subacute phase is safer. However, how to choose the timing of the operation remains inconclusive.

Key words: Stanford type B aortic dissection, endoluminal treatment, timing of intervention

摘要： Stanford B 型主动脉夹层是一种高致死率的主动脉疾病,其治疗方式极为重要,而随着TEVAR技术的进步,已经有越来越多的人选择大于B型夹层的患者进行腔内治疗,但目前尚未有研究能够阐明Stanford B 型主动脉夹层患者腔内治疗的最佳时间窗,目前的主流观点认为于急性期内进行干预更有助于患者预后,而亚急性期进行干预则更加安全,但如何选择手术时机仍无定论。

关键词: Stanford B 型主动脉夹层, 腔内治疗, 干预时机

CLC Number:

R654.3

LI Zi-yi, ZHANG Yang-yi, WU Chun-hua, LIU Da-wei. Endoluminal treatment of Stanford type B aortic dissection and its optimal timing of intervention[J]. Lingnan Modern Clinics In Surgery, 2025, 25(02): 140-145.

李梓仪, 张杨毅, 伍春华, 刘大伟. Stanford B 型主动脉夹层的腔内治疗及其最佳干预时机[J]. 岭南现代临床外科, 2025, 25(02): 140-145.

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