摘要
目的原发性逆撕型Stanford A型主动脉夹层(RTAD)的特征是原发裂口位于无名动脉以远,夹层的假腔逆行撕裂累及升主动脉。由于其解剖结构复杂,危险性高,RTAD仍是大动脉外科极具挑战性的难题。对于这种特殊类型夹层的治疗方式,目前尚无共识。文章分析了相关文献,主要针对RTAD的流行病学、解剖特征、发病机制及治疗方案等方面作一综述,以期为临床诊疗工作提供指导。
The primary retrograde type A aortic dissection(RTAD)is characterized by an initial tear beyond the innominate artery and the retrogradation of the dissected false lumen involving the ascending aorta.Due to its complex anatomical structure and high risk,RTAD is a challenging problem for aortic surgeons.For this dissection,its treatment strategy is controversial,and there is no guideline for the treatment of this subtype or any consensus.By analyzing literature,we mainly review the epidemiology,anatomical characteristics,pathogenesis,treatment strategy and other aspects of RTAD,hoping to provide guidance for clinical work.
作者
张恒
刘军军
肖顺
郭明金
Heng Zhang;Junjun Liu;Shun Xiao;Mingjin Guo(Department of Vascular Surgery,the Affiliated Hospital of Qingdao University,Shandong Qingdao 266000,China)
出处
《中华介入放射学电子杂志》
2022年第3期301-305,共5页
Chinese Journal of Interventional Radiology：electronic edition
基金
国家自然科学基金面上项目(81900418)
山东省重点研发计划(2019GSF108153)
作者简介
通信作者:郭明金,Email:qduahvasc@163.com
