Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2024, Vol. 24 ›› Issue (2): 97-101. doi: 10.3969/j.issn.1672-6731.2024.02.007

• Diagnosis and Treatment of Brain and Heart Comorbidity • Previous Articles     Next Articles

Risk factors and treatment strategies for perioperative neurological complications in aortic dissection surgery

Jian-yu WANG1, Yun-peng BAI2,*()   

  1. 1. Grade 2021 of Clinical Medicine, Graduated School, Tianjin Medical University, Tianjin 300070, China
    2. Department of Cardiovascular Surgery; Tianjin Institute of Cardiovascular Disease; Tianjin Key Laboratory of Cardiovascular Emergency and Critical Care, Chest Hospital, Tianjin University, Tianjin 300222, China
  • Received:2024-01-13 Online:2024-02-25 Published:2024-02-27
  • Contact: Yun-peng BAI
  • Supported by:
    Tianjin Science and Technology Program(22JCYBJC01430)

主动脉夹层围手术期神经系统并发症的危险因素与治疗策略

王建宇1, 白云鹏2,*()   

  1. 1. 300070 天津医科大学研究生院临床医学系2021级
    2. 300222 天津大学胸科医院心血管外科 天津市心血管病研究所 天津市心血管急危重症重点实验室
  • 通讯作者: 白云鹏
  • 基金资助:
    天津市科技计划项目(22JCYBJC01430)

Abstract:

Acute type A aortic dissection (aTAAD) is a common aortic disease with a very high mortality rate. Due to its frequent involvement of vessels above aortic arch, it is highly prone to cause neurological complications. This review comprehensively elaborates on the possible risk factors of aTAAD combined with neurological complications, and summarizes the commonly used surgical treatment strategies, in order to provide a theoretical basis for finding intervention methods for aTAAD combined with neurological complications.

Key words: Aortic diseases, Nervous system diseases, Intraoperative complications, Risk factors, Review

摘要:

急性A型主动脉夹层(aTAAD)作为常见的主动脉疾病,病死率较高。因其常累及弓上分支,极易造成神经系统并发症。本文系统阐述aTAAD围手术期神经系统并发症及其相关危险因素,并总结常用的主动脉夹层手术中脑保护策略,以期指导临床干预和治疗。

关键词: 主动脉疾病, 神经系统疾病, 手术中并发症, 危险因素, 综述