{"title":"[血管内治疗后Stanford B型主动脉夹层破裂特征与进展的关系]。","authors":"P F Yuan, M W Wu, H B Wang, J Xiong","doi":"10.3760/cma.j.cn112139-20220823-00364","DOIUrl":null,"url":null,"abstract":"<p><p>Endovascular treatment of Stanford type B aortic dissection (type B dissection) has been widely used. There will be complications such as aortic dilatation, which will lead to poor prognosis of some patients. With more in-depth researches, it was found that there was a possible correlation between the prognosis of type B dissection and tears, such as the increasing of aortic diameter would be faster with longer tears, and the location of the tear will affect the thrombosis of the false lumen. Studies on hemodynamics have also found that different characteristics of tears of aortic dissection can cause changes in the pressure, blood flow rate and blood capacity in the true and false lumens recently. The hemodynamic changes can be used to predict the prognosis of type B dissection. The main characteristics of tears included the size, position, number of tears, residual tears and stent graft induced new entry. Describing the effect of tear characteristics on the development of type B dissection, can provide the basis for the clinical treatment and further research of type B dissection.</p>","PeriodicalId":23966,"journal":{"name":"Zhonghua wai ke za zhi [Chinese journal of surgery]","volume":"61 3","pages":"256-259"},"PeriodicalIF":0.0000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[The relationship between the characteristics of tears and the progression of Stanford type B aortic dissection after endovascular treatment].\",\"authors\":\"P F Yuan, M W Wu, H B Wang, J Xiong\",\"doi\":\"10.3760/cma.j.cn112139-20220823-00364\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Endovascular treatment of Stanford type B aortic dissection (type B dissection) has been widely used. There will be complications such as aortic dilatation, which will lead to poor prognosis of some patients. With more in-depth researches, it was found that there was a possible correlation between the prognosis of type B dissection and tears, such as the increasing of aortic diameter would be faster with longer tears, and the location of the tear will affect the thrombosis of the false lumen. Studies on hemodynamics have also found that different characteristics of tears of aortic dissection can cause changes in the pressure, blood flow rate and blood capacity in the true and false lumens recently. The hemodynamic changes can be used to predict the prognosis of type B dissection. The main characteristics of tears included the size, position, number of tears, residual tears and stent graft induced new entry. Describing the effect of tear characteristics on the development of type B dissection, can provide the basis for the clinical treatment and further research of type B dissection.</p>\",\"PeriodicalId\":23966,\"journal\":{\"name\":\"Zhonghua wai ke za zhi [Chinese journal of surgery]\",\"volume\":\"61 3\",\"pages\":\"256-259\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhonghua wai ke za zhi [Chinese journal of surgery]\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/cma.j.cn112139-20220823-00364\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua wai ke za zhi [Chinese journal of surgery]","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112139-20220823-00364","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
Stanford B型主动脉夹层(type B dissection)的血管内治疗已被广泛应用。会出现主动脉扩张等并发症,导致部分患者预后不良。随着研究的深入,我们发现B型夹层的预后与撕裂可能存在相关性,如撕裂时间越长,主动脉直径增大的速度越快,撕裂的位置会影响假腔的血栓形成。血流动力学研究也发现,近年来主动脉夹层撕裂物的不同特征可引起真、假腔内压力、血流速率和血容量的变化。血流动力学变化可用于预测B型夹层的预后。撕裂的主要特征包括撕裂的大小、位置、撕裂的数量、残余撕裂和支架诱导的新进入。描述撕裂特征对B型夹层发展的影响,可为B型夹层的临床治疗和进一步研究提供依据。
[The relationship between the characteristics of tears and the progression of Stanford type B aortic dissection after endovascular treatment].
Endovascular treatment of Stanford type B aortic dissection (type B dissection) has been widely used. There will be complications such as aortic dilatation, which will lead to poor prognosis of some patients. With more in-depth researches, it was found that there was a possible correlation between the prognosis of type B dissection and tears, such as the increasing of aortic diameter would be faster with longer tears, and the location of the tear will affect the thrombosis of the false lumen. Studies on hemodynamics have also found that different characteristics of tears of aortic dissection can cause changes in the pressure, blood flow rate and blood capacity in the true and false lumens recently. The hemodynamic changes can be used to predict the prognosis of type B dissection. The main characteristics of tears included the size, position, number of tears, residual tears and stent graft induced new entry. Describing the effect of tear characteristics on the development of type B dissection, can provide the basis for the clinical treatment and further research of type B dissection.