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氰基丙烯酸酯胶水作为A型主动脉夹层修复中额外缝合线的替代物。

Cyanoacrylate glue as an alternative to an additional suture line in the repair of type A aortic dissection.

作者信息

De Paulis R, Matteucci S L, Penta de Peppo A, Chiariello L

机构信息

Cattedra di Cardiochirurgia, Universitá di Roma, Tor Vergata, Rome, Italy.

出版信息

Tex Heart Inst J. 1999;26(4):275-7.

PMID:10653255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325663/
Abstract

We describe the use of cyanoacrylate glue in conjunction with gelatin-resorcinol-formalin glue for the treatment of type A aortic dissection. Instead of placing an additional suture line 2-3 cm from the edges of the aortic stumps to create a large pocket for gluing, we have been using a cyanoacrylate adhesive for approximating the walls of the true and false lumina without the risk of tearing them. Moreover, the simplicity and quickness of the procedure enables application of the cyanoacrylate glue even deeper into the aortic arch, creating a wider area for gluing the dissected layers.

摘要

我们描述了使用氰基丙烯酸酯胶水联合明胶-间苯二酚-甲醛胶水治疗A型主动脉夹层的方法。我们不再在主动脉残端边缘2-3厘米处额外放置缝线以形成用于粘贴的大腔隙,而是使用氰基丙烯酸酯粘合剂使真腔和假腔壁贴合,而不会有撕裂它们的风险。此外,该操作的简单性和快速性使得氰基丙烯酸酯胶水能够应用到主动脉弓更深的部位,为粘贴分离层创造更宽的区域。

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1
Cyanoacrylate glue as an alternative to an additional suture line in the repair of type A aortic dissection.氰基丙烯酸酯胶水作为A型主动脉夹层修复中额外缝合线的替代物。
Tex Heart Inst J. 1999;26(4):275-7.
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[Surgical treatment of dissecting aortic aneurysm using GRF glue].[使用GRF胶水治疗主动脉夹层动脉瘤的外科手术]
Kyobu Geka. 1992 Sep;45(10):883-5.
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The use of surgical glue without replacement in the treatment of type A aortic dissection.在A型主动脉夹层治疗中使用无需更换的手术胶水。
Nihon Kyobu Geka Gakkai Zasshi. 1989 Sep;37 Suppl:95.
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[Surgery of dissecting aortic aneurysm using GRF glue].[使用GRF胶水治疗主动脉夹层动脉瘤的手术]
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[Efficacy of GRF (gelatin-resorcin-formalin) glue on surgery for type A aortic dissection].[GRF(明胶-间苯二酚-甲醛)胶水在A型主动脉夹层手术中的疗效]
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引用本文的文献

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Effectiveness of a new inflatable balloon device for gluing dissected layers in an experimental model of aortic dissection.一种新型充气气球装置在主动脉夹层实验模型中用于粘合分离层的有效性。
Exp Clin Cardiol. 2013 Spring;18(2):166-8.

本文引用的文献

1
Surgical clip for compression of the aortic wall during gluing.
Ann Thorac Surg. 1997 Oct;64(4):1186-7. doi: 10.1016/s0003-4975(97)00825-4.
2
Aortic valve conservation in acute type A dissection.急性A型主动脉夹层中的主动脉瓣保留
Ann Thorac Surg. 1997 Oct;64(4):1108-12. doi: 10.1016/s0003-4975(97)00803-5.
3
Efficient tissue gluing in aortic dissection.
Eur J Cardiothorac Surg. 1994;8(3):160-1. doi: 10.1016/1010-7940(94)90176-7.
4
Surgery of type A acute aortic dissection with Gelatine-Resorcine-Formol biological glue: a twelve-year experience.
J Cardiovasc Surg (Torino). 1990 May-Jun;31(3):263-73.
5
Surgical treatment of acute type A dissecting aneurysm, with preservation of the native aortic valve and use of biologic glue. Follow-up to 6 years.
J Thorac Cardiovasc Surg. 1992 Feb;103(2):369-74.
6
Use of biological glue in acute aortic dissection. Preliminary clinical results with a new surgical technique.生物胶在急性主动脉夹层中的应用。一种新手术技术的初步临床结果。
J Thorac Cardiovasc Surg. 1979 Apr;77(4):516-21.