tailieunhanh - Kết quả sớm can thiệp nội mạch ở bệnh nhân tụ máu trong thành động mạch chủ ngực Stanford B cấp

Bài viết Kết quả sớm can thiệp nội mạch ở bệnh nhân tụ máu trong thành động mạch chủ ngực Stanford B cấp trình bày đánh giá kết quả sớm sau can thiệp đặt stentgraft trong điều trị bệnh lý huyết khối trong thành động mạch chủ ngực. | N 1 Hanoi Medical University 2 Vietnam National Heart Institute Bach Mai Hospital Correspondence to Dr. Le Xuan Than Background Intramural hematoma IMH is a form of acute aortic Hanoi Medical University syndrome. IMH is a life-threatening condition with a mortality rate of 21 for Email type A and 5 for type B. Endovascular is a new minimally invasive method management aortic diseases with many benefits. Thoracic endovascular repair TEVAR to treat complicated or high-risk intramural hematoma with Received 02 May 2023 promising results. Accepted 25 May 2023 Purposes Evaluate the early results of the TEVAR management acute Published online 31 May 2023 intramural hematoma. Subjects and methods This study prospectively analyzed 32 patients admitted Vietnam Heart Institute from January 2018 to the end of June To cite Pham MH Duong CL 2021. They were diagnosed with acute type B intramural hematoma and Nguyen TTH et al. J Vietnam underwent TEVAR . Evaluate the early results after TEVAR to treat acute type B Cardiol 2023 105 75-80 IMH in 1-year follow-up. Results Incidence of IMH was higher in males with in man. Hypertension is the most common risk factors for IMH was present in patient with IMH. The technical success rate is 96 88 . The 30-day mortality rate was 0 . The 1-year follow-up mortality rate was caused by pneumonia . The most common complication after TEVAR was the post- implantation syndrome in patient with IMH . Acute kidney injury accounted for . In -hospital and during longitudinal follow-up stroke event was . Results of aortic remodeling refer to increase the total aortic diameter TAD decrease in IMH thickness decrease in ratio total aortic diameter true lumen diameter Conclusion TEVAR management in patients with acute type B intramural hematoma was safe technique with high success rate that promote remodeling of the aorta. Keywords intramural hematoma endovascular management Stent graft. Pham MH .