Radiologia Interventistica, Azienda Ospedaliera Universitaria Senese, Policlinico Santa Maria alle Scotte, viale Bracci 16, 53100 Siena, Italy.
Cardiovasc Intervent Radiol. 2012 Feb;35(1):176-9. doi: 10.1007/s00270-011-0267-y. Epub 2011 Sep 8.
An innovative approach, the JAG tearing technique, was performed during thoracic endovascular aneurysm repair in a patient with previous surgical replacement of the ascending aorta with a residual uncomplicated type B aortic dissection who developed an aneurysm of the descending thoracic aorta with its lumen divided in two parts by an intimal flap. The proximal landing zone was suitable to place a thoracic stent graft. The distal landing zone was created by cutting the intimal flap in the distal third of the descending thoracic aorta with a radiofrequency guide wire and intravascular ultrasound catheter.
一种创新的方法，即 JAG 撕裂技术，在一位既往接受过升主动脉手术置换的患者中进行，该患者曾患有单纯性 B 型主动脉夹层，现出现降主动脉夹层动脉瘤，其管腔被内膜瓣分为两部分。近端着陆区适合放置胸主动脉支架移植物。远端着陆区通过使用射频导丝和血管内超声导管在降主动脉远端三分之一处切开内膜瓣来创建。
