Marui Akira, Kimura Takeshi, Tazaki Junichi, Sakata Ryuzo, Inoue Kanji
Department of Cardiovascular Surgery, Kyoto University, Kyoto, Japan.
Kyobu Geka. 2011 Jan;64(1):15-20.
Open surgical repair is a traditional treatment for patients with thoracic aortic aneurysms. Despite recent advances in surgical techniques and anesthetic management, the surgical repair of thoracic aortic aneurysms is still associated with significant mortality and morbidity. Endovascular aneurysm repair of thoracic aortic aneurysms is emerging as an alternative method for repair in selected patients. Although endovascular stent grafting is less invasive than open surgical repair, involvement of branch vessels and precipitous curvature of the aortic arch limits the application of stent grafting. Inoue stent graft system consists of soft nitinol ring-type stent which enables very flexible stent graft, and it can well comply with the precipitous curvature of the aortic arch. The system also provides a stent graft with a side branch to manage the left subclavian artery. This system does not require the surgical revascularization of the left subclavian artery. In this report, we show the feasibility and possibility of Inoue stent graft system to manage the aortic arch aneurysm.
开放手术修复是治疗胸主动脉瘤患者的传统方法。尽管近年来手术技术和麻醉管理取得了进展，但胸主动脉瘤的手术修复仍伴随着显著的死亡率和发病率。胸主动脉瘤的血管内动脉瘤修复正在成为特定患者修复的替代方法。虽然血管内支架植入术比开放手术修复的侵入性小，但分支血管受累和主动脉弓的急剧弯曲限制了支架植入术的应用。井上支架系统由柔软的镍钛诺环型支架组成，该支架使支架移植物非常灵活，并且可以很好地顺应主动脉弓的急剧弯曲。该系统还提供带有侧支的支架移植物来处理左锁骨下动脉。该系统不需要对左锁骨下动脉进行手术血运重建。在本报告中，我们展示了井上支架系统治疗主动脉弓动脉瘤的可行性和可能性。
