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标题:B型主动脉夹层动脉瘤植入血管内支架后诱发的逆行性A型主动脉夹层动脉瘤
Circulation, 2009, Volume: 119, Issue: 5
作者:Dong ZH, Fu WG, Wang YQ, Guo DQ, Xu X, Ji Y, Chen B, Jiang JH, Yang J, Shi ZY, Zhu T, Shi Y
内容预览:Background - Retrograde type A aortic dissection has been deemed a rare complication after endovascular stent graft placement for type B dissection. However, this life-threatening event appears to be underrecognized and is worth being investigated further. Methods and Results - Eleven of 443 patients developed retrograde type A aortic dissection during or after stent grafting for type B dissection from August 2000 to June 2007. Of these 11 patients, 3 had Marfan syndrome. The Kaplan-Meier estimate of the rate of freedom from this event at 36 months is 97.4% (95% confidence interval, 0.95 to 0.99). The new entry was located at the tip of the proximal bare spring of the stent graft in 9 patients, was within the anchoring area of the proximal bare spring in 1, and remained unknown in 1...

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