Leung Daniel A, Davis Ivan, Katlaps Gundars, Tisnado Jaime, Sydnor Malcolm K, Komorowski Daniel J, Brinster Derek
Division of Interventional Radiology, Virginia Commonwealth University, Medical College of Virginia Hospitals, 1250 East Marshall Street, Richmond, VA 23298, USA.
J Vasc Interv Radiol. 2008 Apr;19(4):600-5. doi: 10.1016/j.jvir.2007.12.453.
The present report describes three cases of thoracic aortic endograft infolding or collapse involving the Gore TAG system. The cases include a penetrating aortic injury, a blunt aortic injury, and a symptomatic type B dissection. In the first case, infolding occurred in a delayed fashion after a normal-appearing 3-month follow-up computed tomographic angiogram. In the other two cases, infolding occurred during the immediate postoperative phase. One of the patients underwent explantation and surgical repair. The other two underwent endovascular repair of the infolded endograft by placement of a balloon-expandable stent in one case and a self-expanding stent in the other.
本报告描述了3例涉及戈尔TAG系统的胸主动脉内移植物折叠或塌陷病例。这些病例包括1例穿透性主动脉损伤、1例钝性主动脉损伤和1例有症状的B型主动脉夹层。在第一例病例中，折叠在3个月随访时计算机断层血管造影显示正常后延迟发生。在另外两例病例中，折叠发生在术后即刻。其中1例患者接受了移植物取出和外科修复。另外2例患者，1例通过置入球囊扩张支架、另1例通过置入自膨式支架对折叠的内移植物进行了血管腔内修复。
