title: [Endovascular stent-graft exclusion on aortic dissection and dissecting aneurysm].
abstract: OBJECTIVE
  To study the techniques and therapeutic effects of endovascular stent-graft exclusion in aortic dissection and dissecting aneurysm.
  
  
  METHODS
  The clinical data of 20 cases with aortic dissection and(or) dissecting aneurysm were analysed. Stanford A dissection was found in 2 cases, in which one had a tear entry on ascending aorta. Stanford B dissection was found in 18 cases. Five patients had two or more tear entries in different sites. Endovascular polyester-covered stent-graft exclusion was performed in all cases, of which, one case was also given fenestration and graft replacement and one subjected to Y graft bypass from ascending aorta to the left common carotid artery and left subclavian artery before endovascular stent-graft exclusion.
  
  
  RESULTS
  No one died in operation. One patient died of heart infarction on the third day after operation. During the followup of 1 - 20 months, 19 patients were alive well (95%). The aortic dissections and(or) dissecting aneurysms of all the patients disappeared without endoleaks and organ or limb ischemia.
  
  
  CONCLUSIONS
  Endovascular stent-graft exclusion with high successful rate, low mortality and high survival rate, is simple, safe and effective in treating aortic dissection and dissecting aneurysm.
authors.affiliation: Department of Vascular Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Shen-ming
authors.initials: SM
authors.lastname: Wang
authors.forename: Guang-qi
authors.initials: GQ
authors.lastname: Chang
authors.forename: Xiao-xi
authors.initials: XX
authors.lastname: Li
authors.forename: Zhuang-hong
authors.initials: ZH
authors.lastname: Wu
authors.forename: Song-qi
authors.initials: SQ
authors.lastname: Li
authors.forename: Zuo-jun
authors.initials: ZJ
authors.lastname: Hu
authors.forename: Jian-yong
authors.initials: JY
authors.lastname: Yang
authors.forename: Wei
authors.initials: W
authors.lastname: Chen
authors.forename: Wen-quan
authors.initials: WQ
authors.lastname: Zhuang
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome