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用于复杂解剖结构的血管内动脉瘤修复术中保留分支血管的模制平行内支架移植物

Molded Parallel Endografts for Branch Vessel Preservation during Endovascular Aneurysm Repair in Challenging Anatomy.

作者信息

Minion David

机构信息

Department of Surgery, University of Kentucky Medical Center, Lexington, Kentucky.

出版信息

Int J Angiol. 2012 Jun;21(2):81-4. doi: 10.1055/s-0032-1315624.

DOI:10.1055/s-0032-1315624
PMID:23730134
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3444013/
Abstract

Parallel endografts (also known as snorkels or chimneys) are a proposed strategy for increasing the applicability of endovascular repair to aneurysms involving branch vessels. One major disadvantage of this strategy is the imperfect nature of seal inherent to having multiple side-by-side endografts. In this article, the use of odd-shaped parallel endografts to facilitate apposition and improve seal is proposed and a technique to mold a round stent graft into an "eye" shape using balloons is described.

摘要

平行内支架移植物(也称为“通气管”或“烟囱”)是一种旨在提高血管内修复对累及分支血管的动脉瘤适用性的策略。该策略的一个主要缺点是多个并排内支架移植物固有的密封不完美性。在本文中,提出使用异形平行内支架移植物来促进贴合并改善密封,并描述了一种使用球囊将圆形支架移植物塑造成“眼睛”形状的技术。

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本文引用的文献

1
Urgent endovascular treatment of thoraco-abdominal aneurysms using a sandwich technique and chimney grafts--a technical description.采用三明治技术和烟囱移植物对胸腹主动脉瘤进行紧急血管内治疗——技术描述。
Eur J Vasc Endovasc Surg. 2011 Jan;41(1):54-60. doi: 10.1016/j.ejvs.2010.09.013. Epub 2010 Oct 18.
2
Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial.腹主动脉瘤血管内修复与开放修复后的结局:一项随机试验。
JAMA. 2009 Oct 14;302(14):1535-42. doi: 10.1001/jama.2009.1426.
3
Double-barrel technique for preservation of aortic arch branches during thoracic endovascular aortic repair.胸主动脉腔内修复术中保留主动脉弓分支的双腔技术
Ann Vasc Surg. 2008 Nov;22(6):703-9. doi: 10.1016/j.avsg.2008.06.002. Epub 2008 Aug 5.
4
Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial.腹主动脉瘤患者的血管内动脉瘤修复术与开放修复术对比研究(EVAR试验1):随机对照试验
Lancet. 2005;365(9478):2179-86. doi: 10.1016/S0140-6736(05)66627-5.
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Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms.腹主动脉瘤传统修复或血管腔内修复术后的两年结果。
N Engl J Med. 2005 Jun 9;352(23):2398-405. doi: 10.1056/NEJMoa051255.