Wales L, Howard A, Bohm N, Munneke G, Loftus I, Thompson M
Department of Vascular Surgery, St. George's Hospital, London, UK.
Eur J Vasc Endovasc Surg. 2007 Aug;34(2):176-8. doi: 10.1016/j.ejvs.2007.02.019. Epub 2007 May 7.
Endovascular access for aneurysm repair can be challenging in patients with iliofemoral occlusive disease. The carotid artery is an alternative access site, but may increase the risk of cerebral hypoperfusion during stent delivery. We describe a novel approach, where temporary extra-corporeal bypass was used to maintain cerebral perfusion during endovascular thoracic aneurysm repair via the carotid artery, in a patient with significant aorto-iliac and arch vessel disease.
对于患有髂股闭塞性疾病的患者，通过血管内途径进行动脉瘤修复可能具有挑战性。颈动脉是一种替代入路部位，但在输送支架过程中可能会增加脑灌注不足的风险。我们描述了一种新方法，在一名患有严重主动脉-髂动脉和弓部血管疾病的患者中，在通过颈动脉进行血管内胸主动脉瘤修复期间，使用临时体外旁路来维持脑灌注。
