Clinical Analysis on Perioperative Death of Endovascular Repair for Acute Aortic Dissection_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 SHI Tianxiong , HU Xixiang , MIAO Jianhang , LIU Chizhuai

Department of Vascular Surgery， The People’s Hospital of Zhongshan City， The Affiliated Zhongshan Hospital of Sun Yat-sen University， Zhongshan 528400， Guangdong Province， China;

Corresponding author：

SHI Tianxiong, Email: tianxiongshi@yahoo.com.cn

Keywords：

Aortic dissection; Acute phase; Endovascular repair; Death; Perioperative period

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Objective 　To analyze the reasons for the perioperative death of endovascular repair of acute aortic dissection （AD）.
Methods 　The clinical data of 176 patients with acute AD and received endovascular repair from July 2001 to October 2012 were analyzed retrospectively.
Results 　Among 176 patients with acute AD， 8 patients died during perioperatively， received endovascular repair in 1-5 days after admission （mean 2.4 d）， and all of them admitted before 2008. Two cases were type A and 6 cases were type B. All cases with hypertension and 3 cases with pleural effusion. Three cases died on the day of operation， among them 2 cases occurred in 1 h after operation， the other 1 case occurred in 2 h after operation. Four cases died in 2 days after operation and 1 case died in 4 days after operation. Four cases died of rupture of the aortic dissection， 2 cases died of cerebral infarction， 1 case died of multiple organ failure， and 1 case died of gastrointestinal bleeding.
Conclusion 　To avoid performing endovascular repair during the acute phase and improving operation skills may help to avoid the occurrence of perioperative death.

Citation： SHI Tianxiong,HU Xixiang,MIAO Jianhang,LIU Chizhuai,.. Clinical Analysis on Perioperative Death of Endovascular Repair for Acute Aortic Dissection. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(10): 1085-1087. doi: Copy

1.	周敏，刘长建，乔彤，等. 主动脉夹层80例临床分析[J]. 中国实用外科杂志， 2008， 28(3)： 209-210.
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11.	Jing QM， Han YL， Wang XZ， et al. Endovascular stent-grafts for acute and chronic type B aortic dissection：comparison of clinical outcomes[J]. Chin Med J (Engl)， 2008， 121(22)： 2213-2217.
12.	谷涌泉，郭连瑞，齐立行，等. B型主动脉夹层98例报告[J]. 中国微创外科杂志. 2012， 12(8)：675-677， 686.
13.	Feezor RJ， Martin TD， Hess PJ， et al. Early outcomes after endo-vascular management of acute， complicated type B aortic dissection[J]. J Vasc Surg， 2009， 49(3)：561-567.
14.	景在平，冯翔，包俊敏，等. 腔内隔绝术治疗Stanford B型主动脉夹层动脉瘤146例临床分析[J]. 中华外科杂志， 2003， 41(7)： 483-486.

1. 周敏，刘长建，乔彤，等. 主动脉夹层80例临床分析[J]. 中国实用外科杂志， 2008， 28(3)： 209-210.
2. 石赟，符伟国，王玉琦，等. 102例Stanford B型主动脉夹层动脉瘤的腔内治疗经验[J]. 中华普通外科杂志， 2005， 20(1)：9-12.
3. Meszaros I， Morocz J， Szlavi J， et al. Epidemiology and clinicopathology of aortic dissection[J]. Chest， 2000， 117(5)：1271-1278.
4. Dotter CT. Transluminally-placed coilspring endarterial tube grafts.Long-term patency in canine popliteal artery[J]. Invest Radiol， 1969， 4(5)：329-332.
5. Dake MD， Kato N， Mitchell RS， et al. Endovascular stent-graft placement for the treatment of acute aortic dissection[J]. N Engl J Med， 1999， 340(20)：1546-1552.
6. Hagan PG， Nienaber CA， Isselbacher EM， et al. The International Registry of Acute Aortic Dissection(IRAD)：new insights into an old disease[J]. JMMA， 2000， 283(7) 897-903.
7. Nienaber CA， Fattori R， Lund G， et al. Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement[J]. N Engl J Med， 1999， 340(20)：1539-1545.
8. Eggebrecht H， Nienaber CA， Neuhauser M， et al. Endovascular stent-graft placement in aortic dissection： a meta-analysis[J]. Eur Heart J， 2006， 27(4)：489-498.
9. 吴勇波，曾和松，黄芬，等. 主动脉夹层急性期院内死亡危险因素分析[J]. 内科急危重症杂志， 2008， 14(6)：293-295.
10. Gariboldi V， Grisoli D， Kerbaul F， et al. Long-term outcomes after repaired acute type A aortic dissections[J]. Interact Cardiovasc Thorac Surg， 2007， 6(1)：47-51.
11. Jing QM， Han YL， Wang XZ， et al. Endovascular stent-grafts for acute and chronic type B aortic dissection：comparison of clinical outcomes[J]. Chin Med J (Engl)， 2008， 121(22)： 2213-2217.
12. 谷涌泉，郭连瑞，齐立行，等. B型主动脉夹层98例报告[J]. 中国微创外科杂志. 2012， 12(8)：675-677， 686.
13. Feezor RJ， Martin TD， Hess PJ， et al. Early outcomes after endo-vascular management of acute， complicated type B aortic dissection[J]. J Vasc Surg， 2009， 49(3)：561-567.
14. 景在平，冯翔，包俊敏，等. 腔内隔绝术治疗Stanford B型主动脉夹层动脉瘤146例临床分析[J]. 中华外科杂志， 2003， 41(7)： 483-486.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Analysis on Perioperative Death of Endovascular Repair for Acute Aortic Dissection

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