Department of Cardiovascular Surgery, Inselspital, University Hospital Berne, Switzerland;
Ann Cardiothorac Surg. 2013 May;2(3):372-7. doi: 10.3978/j.issn.2225-319X.2013.03.05.
The successes of thoracic endovascular aortic repair (TEVAR) have spurned new approaches to addressing thoracic aortic pathologies. These hybrid techniques offer an alternative in patients with multi-segmental thoracic aortic pathologies which would have otherwise required a two-step arch replacement and open descending arch repair. The following article offers a clinical insight to the available hybrid approaches, such as rerouting of supra-aortic vessels. Unique complications to endovascular repairs, and technical risks and issues, are also presented along with management options and strategies to minimize such concerns.
胸主动脉腔内修复术(TEVAR)的成功促使人们采用新方法来治疗胸主动脉病变。对于那些多节段胸主动脉病变的患者,这些杂交技术提供了一种替代方案,否则这些患者将需要进行两步弓部置换和开放降主动脉修复。本文将对现有的杂交方法进行临床分析,如主动脉上血管的改道。还介绍了血管内修复的独特并发症、技术风险和问题,以及管理选择和策略,以尽量减少这些问题。