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首页> 外文期刊>Vascular and endovascular surgery >Descending thoracic aortic dissection: evaluation and management in the era of endovascular technology.
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Descending thoracic aortic dissection: evaluation and management in the era of endovascular technology.

机译：降主动脉夹层解剖：血管内技术时代的评估和管理。

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摘要

Acute aortic dissection is a relatively uncommon but highly lethal condition. Without proper treatment, devastating consequences can occur due to aortic rupture, cardiac tamponade, or irreversible ischemia involving the spinal cord or the visceral organs. The treatment strategy of this condition is in part influenced by the location and the severity of aortic dissection as immediate surgical intervention is necessary in acute ascending aortic dissection, whereas medical therapy is the initial treatment approach in uncomplicated descending aortic dissection. Recent advances of endovascular technology have broadened the potential application of this catheter-based therapy in aortic pathologies, including descending thoracic aortic dissection. In this article, the etiology, pathogenesis, and classification of this condition are discussed. The diagnostic benefits of various imaging modalities for descending aortic dissection are also discussed. Current treatment strategies, including medical, surgical, andcatheter-based interventions, are reviewed. Lastly, clinical experiences of endovascular treatment for descending aortic dissection and various endovascular devices potentially applicable for this condition are discussed.
机译：急性主动脉夹层是一种相对罕见但致命性很高的疾病。如果没有适当的治疗，由于主动脉破裂，心脏压塞或涉及脊髓或内脏器官的不可逆性缺血，可能会造成毁灭性后果。这种情况的治疗策略部分受主动脉夹层的位置和严重程度的影响，因为在急性升主动脉夹层中必须立即进行手术干预，而药物治疗是不复杂的主动脉降主夹层的初始治疗方法。血管内技术的最新进展已拓宽了这种基于导管的疗法在主动脉病变（包括胸主动脉降级解剖）中的潜在应用。本文讨论了该病的病因，发病机制和分类。还讨论了降主动脉夹层的各种成像方式的诊断益处。审查了当前的治疗策略，包括医疗，手术和基于导管的干预措施。最后，讨论了降主动脉夹层的血管内治疗的临床经验以及可能适用于这种情况的各种血管内装置。

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