Department of Vascular Surgery, CHRU de Lille, Lille, France.
Ann Thorac Surg. 2012 May;93(5):1710-3. doi: 10.1016/j.athoracsur.2011.10.030.
Total endovascular treatment of complex ascending and arch disease remains extremely challenging with difficulties provided by the curvature of the arch, the variable anatomy of the great vessels, the proximity of the coronary ostia, potential damage to the aortic valve, and ventricle and instability during deployment. Given this background, reports of the total endovascular treatment of aortic arch are sparse. We describe one challenging case using an arch branched endograft that was safely advanced and precisely positioned into the ascending aorta using an externalized transseptal guide wire technique.
复杂升主动脉和弓部疾病的全腔内治疗仍然极具挑战性，其难点包括弓部的弯曲、大血管解剖结构的多变性、冠状动脉开口的毗邻关系、主动脉瓣、心室潜在损伤以及在展开过程中的不稳定性。有鉴于此，关于主动脉弓全腔内治疗的报道很少。我们描述了一个使用分支型主动脉弓覆膜支架的挑战性病例，通过经房间隔外导丝技术安全地将支架输送并精确定位到升主动脉。
