Mitsuoka Hiroshi, Shintani Tsunehiro, Saito Takaaki, Norimatsu Togo, Higashi Shigeki
Department of Vascular Surgery, Shizuoka Red Cross Hospital, Shizuoka, Shizuoka, Japan.
Ann Vasc Dis. 2012;5(1):73-7. doi: 10.3400/avd.cr.11.00056. Epub 2012 Jan 31.
To share our hybrid endovascular experiences using chimney or sandwich stent grafts for acute aortic arch pathologies.
Hybrid procedures for a distal aortic arch aneurysm and an ascending anastomotic aortic aneurysm rupture were reported. Right to left common carotid and left axillar artery bypasses were located. Covered stents were inserted into the inominate artery, with the flow-proximal end located in the ascending (standard chimney) or the descending aortic stent graft (retrograde sandwich).
Both cases had no signs of brain ischemia. Aneurysms are decreasing in size.
Chimney and sandwich techniques were technically feasible in the complex and acute situations.
分享我们使用烟囱式或三明治式支架型血管移植物治疗急性主动脉弓病变的杂交血管内治疗经验。
报告了治疗远端主动脉弓动脉瘤和升主动脉吻合口动脉瘤破裂的杂交手术。建立了从右向左的颈总动脉和左腋动脉旁路。将覆膜支架插入无名动脉，血流近端位于升主动脉（标准烟囱式）或降主动脉支架型血管移植物内（逆行三明治式）。
两例均无脑缺血迹象。动脉瘤体积在缩小。
在复杂和急性情况下，烟囱式和三明治式技术在技术上是可行的。
