Gawenda M, Brunkwall J
Department of Vascular Surgery, University of Cologne, Cologne, Germany.
J Cardiovasc Surg (Torino). 2010 Apr;51(2):157-68.
The indications for endovascular therapy of thoracic aortic pathologies are expanding. The complexity of cases is increasing. The individual anatomy and pathology of the thoracic aorta alone and in combination create specific difficulties in stent graft delivery, deployment, and fixation. Graft design has evolved, and several new iterations of stent grafts have been introduced into clinical practice. The assessment of these new grafts is difficult, due to the changing indications for their use and a lack of large-scale clinical trials. Currently, a number of thoracic stent graft devices are available in Europe. Variable amounts of clinical data are available to support their use.
胸主动脉疾病血管内治疗的适应证正在不断扩大。病例的复杂性也在增加。仅胸主动脉的个体解剖结构和病理情况,以及两者的组合,在支架移植物的输送、展开和固定方面都带来了特定的困难。移植物设计不断发展,几种新型的支架移植物已被引入临床实践。由于其使用适应证不断变化且缺乏大规模临床试验,对这些新型移植物进行评估很困难。目前,欧洲有多种胸主动脉支架移植物可供使用。有不同数量的临床数据可支持其使用。