Stanford B型主动脉夹层假腔血栓形成影响因素的研究进展
Research Progress on the Influencing Factors of Pseudoluminal Thrombosis in Stanford Type B Aortic Dissection
摘要: 随着腔内技术的日益完善，TEVAR已经成为Stanford B型主动脉夹层的主要治疗方法，但TEVAR术后可能因假腔通畅或假腔部分血栓形成导致主动脉不良事件，影响患者预后。早期发现血管重塑预测因素有助于选择适合的技术避免相关并发症发生，本文对假腔血栓形成的影响因素研究进展作一综述。
Abstract: With the increasing improvement of Intravascular techniques, TEVAR has become the main treat-ment for Stanford type B aorticdissection, but TEVAR may lead to adverse aortic events due to pseudolumen patent or partial thrombosis of the pseudolumen after TEVAR, which affects patient prognosis. Early detection of predictors of aortic pseudoluminal thrombosis can help to select the appropriate technique to avoid related complications. This article reviews the progress of research on the influencing factors of pseudoluminal thrombosis.
文章引用：海依娜尔·赛力克汗, 赛力克·马高维亚. Stanford B型主动脉夹层假腔血栓形成影响因素的研究进展[J]. 临床医学进展, 2023, 13(3): 3246-3251. https://doi.org/10.12677/ACM.2023.133462

参考文献

[1] Evangelista, A., Isselbacher, E.M., Bossone, E., et al. (2018) Insights from the International Registry of Acute Aortic Dissection: A 20-Year Experience of Collaborative Clinical Research. Circulation, 137, 1846-1860. [Google Scholar] [CrossRef] 
[2] 张红刚, 乔彤. Stanford B型主动脉夹层腔内修复术后主动脉重塑研究进展[J]. 中华外科杂志, 2018, 56(6): 477-480. [Google Scholar] [CrossRef] 
[3] Liu, D., Luo, H., Lin, S., et al. (2020) Comparison of the Efficacy and Safety of Thoracic Endovascular Aortic Repair with Open Surgical Repair and Optimal Medical Therapy for Acute Type B Aortic Dissection: A Systematic Review and Meta-Analysis. International Journal of Surgery, 83, 53-61. [Google Scholar] [CrossRef] [PubMed]
[4] Lou, X., Chen, E.P., Duwayri, Y.M., et al. (2022) Early Results of Thoracic Endovascular Aortic Repair for the Management of Acute Uncomplicated Type B Aor-tic Dissection. Seminars in Thoracic and Cardiovascular Surgery. [Google Scholar] [CrossRef] [PubMed]
[5] Kumar, S., Choinski, K.N. and Tadros, R.O. (2020) Thoracic Aortic Endografts: Past, Present, and Future. Surgical Technology International, 37, 232-236.
[6] Czerny, M., Schmidli, J., Adler, S., et al. (2019) Current Options and Recommendations for the Treatment of Thoracic Aortic Pathol-ogies Involving the Aortic Arch: An Expert Consensus Document of the European Association for Cardio-Thoracic Sur-gery (EACTS) and the European Society for Vascular Surgery (ESVS). European Journal of Cardio-Thoracic Surgery, 55, 133-162. [Google Scholar] [CrossRef] [PubMed]
[7] Brown, J.A., Arnaoutakis, G.J., Szeto, W.Y., et al. (2021) Endovascular Repair of the Aortic Arch: State of the Art. Journal of Cardiac Surgery, 36, 4292-4300. [Google Scholar] [CrossRef] [PubMed]
[8] Li, J., Xue, Y., Li, S., et al. (2022) Outcomes of Thoracic Endovascular Aortic Repair with Chimney Technique for Aortic Arch Diseases. Frontiers in Cardiovascular Medicine, 9, Article ID: 868457. [Google Scholar] [CrossRef] [PubMed]
[9] Zhao, Z., Qin, J., Yin, M., et al. (2020) In Situ Laser Stent Graft Fenestration of the Left Subclavian Artery during Thoracic Endovascular Repair of Type B Aortic Dissection with Lim-ited Proximal Landing Zones: 5-Year Outcomes. Journal of Vascular and Interventional Radiology, 31, 1321-1327. [Google Scholar] [CrossRef] [PubMed]
[10] Tanaka, A., Sakakibara, M., Ishii, H., et al. (2014) Influence of the False Lumen Status on Clinical Outcomes in Patients with Acute Type B Aortic Dissection. Journal of Vascular Surgery, 59, 321-326. [Google Scholar] [CrossRef] [PubMed]
[11] Li, D., Ye, L., He, Y., et al. (2016) False Lumen Status in Patients with Acute Aortic Dissection: A Systematic Review and Meta-Analysis. Journal of the American Heart Association, 5, e003172. [Google Scholar] [CrossRef] 
[12] Spanos, K. and Kölbel, T. (2020) Role of Endoluminal Techniques in the Management of Chronic Type B Aortic Dissection. CardioVascular and Interventional Radiology, 43, 1808-1820. [Google Scholar] [CrossRef] [PubMed]
[13] Hsu, H.L., Huang, C.Y., Lu, H.Y., et al. (2022) Aortic Remodeling of the Provisional Extension to Induce Complete Attachment Technique in DeBakey Type IIIb Aortic Dissection. Journal of the Formosan Medical Association, 121, 1748-1757. [Google Scholar] [CrossRef] [PubMed]
[14] Vecchini, F., Haupert, G., Baudry, A., et al. (2022) Risk Factors for Incomplete Aortic Remodeling with Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair for Complicated Aortic Dissection: Results of a Multicenter Study. Journal of Endovascular Therapy. [Google Scholar] [CrossRef] [PubMed]
[15] Marques de Marino, P., Ibraheem, A., Tesinsky, P., et al. (2022) Fenestrated and Branched Stent Grafts for the Treatment of Post-Dissection Thoracoabdominal Aortic Aneurysms. Seminars in Vascular Surgery, 35, 312-319. [Google Scholar] [CrossRef] [PubMed]
[16] Li, H.L., Chan, Y.C., Jia, H.Y., et al. (2022) Methods and Outcomes of Endovascular False Lumen Embolization for Thoracic Aortic Dissection. Annals of Vascular Surgery. [Google Scholar] [CrossRef] [PubMed]
[17] Costache, V.S., Meekel, J.P., Costache, A., et al. (2021) One-Year Single-Center Results of the Multilayer Flow Modulator Stents for the Treatment of Type B Aortic Dissection. Journal of Endovascular Therapy, 28, 20-31. [Google Scholar] [CrossRef] [PubMed]
[18] Jubouri, M., Bashir, M., Tan, S.Z.C.P., et al. (2022) What Is the Optimal Timing for Thoracic Endovascular Aortic Repair in Uncomplicated Type B Aortic Dissection? Journal of Car-diac Surgery, 37, 993-1001. [Google Scholar] [CrossRef] [PubMed]
[19] Lee, S.J., Kang, W.C., Ko, Y.G., et al. (2020) Aortic Remodeling and Clinical Outcomes in Type B Aortic Dissection According to the Timing of Thoracic Endovascular Aortic Repair. Annals of Vascular Surgery, 67, 322-331. [Google Scholar] [CrossRef] [PubMed]
[20] Ma, T., Dong, Z.H., Fu, W.G., et al. (2018) Incidence and Risk Factors for Retrograde Type A Dissection and Stent Graft-Induced New Entry after Thoracic Endovascular Aortic Repair. Journal of Vascular Surgery, 67, 1026-1033.e2. [Google Scholar] [CrossRef] [PubMed]
[21] Kan, X., Ma, T., Dong, Z., et al. (2021) Patient-Specific Virtual Stent-Graft Deployment for Type B Aortic Dissection: A Pilot Study of the Impact of Stent-Graft Length. Frontiers in Physiology, 12, Article ID: 718140. [Google Scholar] [CrossRef] [PubMed]
[22] Lombardi, J.V., Famularo, M., Kratzberg, J., et al. (2021) Effect of Proximal Fixation Length on Complications after Endovascular Repair of Type B Aortic Dissection. Journal of Vas-cular Surgery, 73, 1189-1196.e3. [Google Scholar] [CrossRef] [PubMed]
[23] Shahbazian, N., Romero, D.A., Forbes, T.L., et al. (2022) Identifi-cation of Geometric and Mechanical Factors Predictive of Bird-Beak Configuration in Thoracic Endovascular Aortic Re-pair Using Computational Models of Stent Graft Deployment. JVS-Vascular Science, 3, 259-273. [Google Scholar] [CrossRef] [PubMed]
[24] Rychla, M., Dueppers, P., Meuli, L., et al. (2022) Influence of Measurement and Sizing Techniques in Thoracic Endovascular Aortic Repair on Outcome in Acute Complicated Type B Aortic Dissections. Interdisciplinary CardioVascular and Thoracic Surgery, 34, 628-636. [Google Scholar] [CrossRef] [PubMed]
[25] Li, X., Zhang, Y., Sun, Z., et al. (2022) Prevention of Distal Stent Graft-Induced New Entry after Endovascular Repair for Type B Aortic Dissection: A Retrospective Cohort Study. The Journal of Thoracic and Cardiovascular Surgery. [Google Scholar] [CrossRef] [PubMed]
[26] Sun, L., Li, X., Li, Q., et al. (2021) Morphological Features of Aortic Arch Predicting the Risk for Acute Type B Aortic Dissection. World Journal of Surgery, 45, 3458-3466. [Google Scholar] [CrossRef] [PubMed]
[27] Cao, L., Ge, Y., He, Y., et al. (2020) Association between Aor-tic Arch Angulation and Bird-Beak Configuration after Thoracic Aortic Stent Graft Repair of Type B Aortic Dissection. Interdisciplinary CardioVascular and Thoracic Surgery, 31, 688-696. [Google Scholar] [CrossRef] [PubMed]
[28] Li, D., Peng, L., Wang, Y., et al. (2020) Predictor of False Lumen Thrombosis after Thoracic Endovascular Aortic Repair for Type B Dissection. The Journal of Thoracic and Cardiovas-cular Surgery, 160, 360-367. [Google Scholar] [CrossRef] [PubMed]
[29] Sun, W., Xu, H., Xiong, J., et al. (2021) 3D Morphologic Find-ings before and after Thoracic Endovascular Aortic Repair for Type B Aortic Dissection. Annals of Vascular Surgery, 74, 220-228. [Google Scholar] [CrossRef] [PubMed]
[30] Zhang, S., Chen, Y., Zhang, Y., et al. (2018) Should the Distal Tears of Aortic Dissection Be Treated? The Risk of Distal Tears after Proximal Repair of Aortic Dissection. International Journal of Cardiology, 261, 162-166. [Google Scholar] [CrossRef] [PubMed]
[31] Armour, C.H., Menichini, C., Milinis, K., et al. (2020) Location of Reentry Tears Affects False Lumen Thrombosis in Aortic Dissection Following TEVAR. Journal of Endovascular Therapy, 27, 396-404. [Google Scholar] [CrossRef] [PubMed]
[32] Rylski, B., Muñoz, C., Beyersdorf, F., et al. (2018) How Does Descending Aorta Geometry Change When It Dissects? European Journal of Cardio-Thoracic Surgery, 53, 815-821. [Google Scholar] [CrossRef] [PubMed]
[33] Nugraha, R.A., Amshar, M., Batubara, E.A.D., et al. (2022) Descending Aorta Diameters as Predictor of Late Adverse Outcomes in Patients with Uncomplicated Type B Aortic Dissection: A Systematic Review and Meta-Analysis. Annals of Vascular Surgery, 80, 333-344. [Google Scholar] [CrossRef] [PubMed]
[34] Zhou, M., Shi, Z., Li, X., et al. (2021) Prediction of Distal Aortic Enlargement after Proximal Repair of Aortic Dissection Using Machine Learning. Annals of Vascular Surgery, 75, 332-340. [Google Scholar] [CrossRef] [PubMed]
[35] Ge, Y., Lv, X., Ge, X., et al. (2021) The Number of Preoperative Abdominal False Lumen-Perfused Small Branches Is Related to Abdominal Aortic Remodeling after Tho-racic Endovascular Aortic Repair for Type B Aortic Dissection. Annals of Vascular Surgery, 71, 56-64. [Google Scholar] [CrossRef] [PubMed]
[36] Wang, X., Ge, Y., Ge, X., et al. (2020) Dissection Length-to-Descending Thoraco-Abdominal Aorta Length Ratio Predicts Abdominal Aortic Enlargement after Thoracic Endovascular Aortic Repair for Type B Aortic Dissection Involving the Abdominal Aorta. Interdisciplinary CardioVas-cular and Thoracic Surgery, 31, 680-687. [Google Scholar] [CrossRef] [PubMed]
[37] Dong, Y., Que, L., Jia, Q., et al. (2022) Predicting Reintervention after Thoracic Endovascular Aortic Repair of Stanford Type B Aortic Dissection Using Machine Learning. European Radiol-ogy, 32, 355-367. [Google Scholar] [CrossRef] [PubMed]
[38] Munshi, B., Parker, L.P., Norman, P.E., et al. (2020) The Ap-plication of Computational Modeling for Risk Prediction in Type B Aortic Dissection. Journal of Vascular Surgery, 71, 1789-1801.e3. [Google Scholar] [CrossRef] [PubMed]

为你推荐