Department of Vascular Surgery, St. Franziskus Hospital, Münster, Germany.
J Endovasc Ther. 2011 Apr;18(2):157-60. doi: 10.1583/10-3341.1.
A totally endovascular approach to complex aortic aneurysms using fenestrated and branched stent-grafts is a technically demanding alternative to open surgical repair of thoracoabdominal and pararenal aneurysms. Complications of these complex endovascular reconstructions are varied, from dislocation of the stent-graft to occlusion of the target vessels. Based on our growing experience with these procedures, we reviewed the causes leading to secondary procedures after ≥100 branched/fenestrated stent-graft repairs and now propose several alterations to the technique that could improve the results of this approach to complex aortic aneurysm repair.
使用覆膜支架开窗和分支型支架治疗复杂主动脉瘤的完全腔内治疗方法是一种有技术难度的选择，可替代胸、腹主动脉瘤和肾周动脉瘤的开放手术修复。这些复杂的腔内重建并发症多种多样，从支架移位到靶血管闭塞。基于我们对这些手术的不断积累的经验，我们回顾了 100 例以上分支/开窗型覆膜支架修复术后导致二次手术的原因，并提出了一些技术改变，这些改变可能会提高这种复杂主动脉瘤修复方法的效果。
