Mangialardi Nicola, Costa Pierluigi, Serrao Eugenia, Cavazzini Carlo, Bergeron Patrice
Vascular Surgery Unit, San Filippo Neri Hospital, Rome, Italy.
Vascular. 2005 Sep-Oct;13(5):298-300. doi: 10.1258/rsmvasc.13.5.298.
Endovascular treatment of aortic arch aneurysms poses unique problems because of vascularization of the carotid arteries. Transposition of supra-aortic vessels is becoming an established and accepted strategy for expanding the applicability of stent graft repair. left subclavian artery (LSA) is not usually transposed because its overstenting does not produce relevant complications. Nevertheless, some selected cases need high-pressure revascularization of the LSA, such as in the presence of a patent left internal mammary artery. We present a technique of revascularization of supra-aortic vessels and "balloon protected" embolization of the origin of the LSA.
由于颈动脉的血管分布，主动脉弓动脉瘤的血管内治疗存在独特的问题。主动脉弓上血管转位正成为一种既定且被接受的策略，以扩大支架移植物修复的适用性。左锁骨下动脉（LSA）通常不进行转位，因为对其过度支架置入不会产生相关并发症。然而，一些特定病例需要对LSA进行高压血运重建，比如存在左乳内动脉通畅的情况。我们介绍一种主动脉弓上血管血运重建及LSA起始部“球囊保护”栓塞的技术。
