Milner Ross, Verhagen Hence J M, Blankensteijn Jan D
Division of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
J Vasc Surg. 2003 Aug;38(2):397-400. doi: 10.1016/s0741-5214(03)00288-x.
Complications of endovascular aneurysm repair can be difficult to manage. One of the more difficult situations is conversion to open surgery because of a failed endograft. We describe a technique for conversion that allows the proximal attachment system to remain intact. It may also enable infrarenal clamping of the aorta during the operation. The anastomosis is performed by incorporating the proximal attachment system of the endograft. This technique simplifies both vascular control of the aorta and the necessary reconstruction during creation of the proximal anastomosis. We believe this technique has important advantages when conversion of a failed endograft is required.
血管内动脉瘤修复术的并发症可能难以处理。其中较棘手的情况之一是由于血管内移植物失败而转为开放手术。我们描述了一种转换技术，该技术可使近端附着系统保持完整。它还可能使手术过程中能够在肾下钳夹主动脉。吻合术通过合并血管内移植物的近端附着系统来进行。该技术简化了主动脉的血管控制以及近端吻合口创建过程中所需的重建。我们认为，当需要对失败的血管内移植物进行转换时，该技术具有重要优势。
