腹主动脉瘤修复术：颈动脉入路。

Abdominal aortic aneurysm repair: The carotid approach.

作者信息

Ghosh Jonathan, Murray David, Farquharson Finn, Serracino-Inglott Ferdinand

机构信息

Department of Vascular and Endovascular Surgery, Manchester Royal Infirmary, Manchester, UK.

出版信息

J Vasc Surg. 2009 Mar;49(3):763-6. doi: 10.1016/j.jvs.2008.10.036.

DOI:10.1016/j.jvs.2008.10.036

PMID:19268779

Abstract

We present the case of a 61-year-old man with a 5.8 cm infrarenal aortic aneurysm with extensive iliac disease that did not permit conventional EVAR, who was also judged to be too high risk for open surgery. Despite these factors, the aneurysm was still successfully repaired using endovascular means and an alternative access technique. This involved a specially commissioned Zenith aorto-uniliac endograft reverse mounted onto a TX2 delivery device, delivered via the carotid artery.

摘要

我们报告了一例61岁男性患者，其患有一个5.8厘米的肾下主动脉瘤，伴有广泛的髂动脉病变，无法进行传统的腔内血管修复术（EVAR），且被判定进行开放手术的风险过高。尽管存在这些因素，但仍通过血管内手段和一种替代入路技术成功修复了该动脉瘤。这包括将一个专门定制的Zenith主动脉-单髂动脉血管内支架移植物反向安装在TX2输送装置上，经颈动脉输送。