董智慧
主动脉疾病的腔内治疗。
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- 姓名:董智慧
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外科学
- 研究兴趣:主动脉疾病的腔内治疗。
董智慧,男,1973年11月出生,中国共产党党员,医学博士,主治医师。1998年毕业于南通医学院临床医学系;2003年南通医学院普外科研究生毕业获硕士学位;同年考入复旦大学(附属中山医院血管外科)攻读博士研究生;2006年毕业获医学博士学位,留中山医院血管外科工作。
博士在读期间获得复旦大学一等奖学金、上海市高校优秀毕业生和复旦大学优秀博士论文,毕业后获国家教育部高校科技进步奖二等奖、上海市科技进步三等奖等荣誉。主要研究方向为“主动脉疾病的腔内治疗”,至今发表SCI论文4篇(Circulation 1篇;Chiness Medical Journal 3篇),中华系列杂志11篇,国内核心期刊6篇。承担国家自然科学基金“青年科学基金项目”、复旦大学青年科学基金和江苏省重点实验室开放课题各1项;参与国家自然基金课题3项,国家高技术研究发展计划(863)、卫生部部属(管)医院临床学科重点项目、国家教育部博士点基金各1项;上海市科学技术委员会科研计划项目2项。参与编写学术著作2部,翻译专著1篇。获得国家实用新型专利1项(ZL200420082003.6)。参与完成的“主动脉疾病的腔内治疗及器材的研发与应用”科技成果经鉴定达到国际先进水平。参加6次国际学术会议,并作英文发言。
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董智慧
,-0001,():
-1年11月30日
Background—Retrograde type A aortic dissection has been deemed a rare complication after endovascular stent graft placement for type B dissection. However, this life-threatening event appears to be underrecognized and is worth being investigated further. Methods and Results—Eleven of 443 patients developed retrograde type A aortic dissection during or after stent grafting for type B dissection from August 2000 to June 2007. Of these 11 patients, 3 had Marfan syndrome. The Kaplan–Meier estimate of the rate of freedom from this event at 36 months is 97.4% (95% confidence interval, 0.95 to 0.99). The new entry was located at the tip of the proximal bare spring of the stent graft in 9 patients, was within the anchoring area of the proximal bare spring in 1, and remained unknown in 1 patient. Eight patients were converted to open surgery, and 2 received medical treatment. One patient suddenly died 2 hours after the primary stent grafting, and 2 died within 1 week after the surgical conversion, so mortality reached 27.3%. During the follow-up from 3 to 50 months, type I endoleak was identified in 1 patient 3 months after the surgical exploration and disappeared at 6 months. Conclusions—Retrograde type A aortic dissection after stent grafting for type B dissection appears not to be rare and results from mixed causes. Fragility of the aortic wall and disease progression may predispose to it, whereas stent grafting–related factors make important and provocative contributions. Avoiding aortic arch stent grafting in Marfan patients, preferably selecting the endograft without the proximal bare spring for patients with a kinked aortic arch or with Marfan syndrome (if endografting is used), improving the device design, and standardizing endovascular manipulation might lessen its occurrence. (Circulation. 2009;119:735-741.)
aortic dissection, endovascular surgery, grafting, stents
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【期刊论文】Endovascular Repair for a Huge Vertebral Pseudoaneurysm Caused by Behcet’s Disease.
董智慧
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董智慧
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董智慧
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