通过直接穿刺移植物使用主动脉球囊进行安全快速的近端主动脉控制，用于取出带肾上腺固定的腹部血管内移植物。
Safe and fast proximal aortic control using an aortic balloon through direct graft puncture for the explantation of an abdominal endograft with suprarenal fixation.
作者信息
Matsagkas Miltiadis, Kouvelos George N, Peroulis Michalis
机构信息
Department of Surgery, Vascular Surgery Unit, Medical School, University of Ioannina, Ioannina, Greece.
出版信息
Interact Cardiovasc Thorac Surg. 2014 Apr;18(4):519-21. doi: 10.1093/icvts/ivt557. Epub 2014 Jan 20.
The late removal of an abdominal aortic endograft is technically challenging and can be associated with significant blood loss, especially when a graft with active suprarenal fixation is involved. The main issue in safe explantation of the endograft is control of the aorta above the proximal fixation site. We report an adjunctive technique for the safe and fast proximal control of the suprarenal aorta using an aortic balloon. The endograft is directly punctured and an aortic balloon is deployed and inflated above the fixation site in the supracoeliac aorta. The time for supracoeliac control in our 2 patients was <5 min. This simple technique offers a safe and fast aortic control during the removal of the endograft, especially when active suprarenal fixation is used, avoiding the risks from a technically demanding dissection in a potentially inflammatory region.
晚期取出腹主动脉内移植物在技术上具有挑战性，且可能伴有大量失血，尤其是当涉及带有主动肾上固定的移植物时。安全取出内移植物的主要问题是控制近端固定部位上方的主动脉。我们报告一种使用主动脉球囊安全快速近端控制肾上主动脉的辅助技术。直接穿刺内移植物，并在腹腔干上方主动脉的固定部位上方部署并充盈主动脉球囊。我们2例患者的腹腔干控制时间<5分钟。这种简单技术在内移植物取出过程中提供了安全快速的主动脉控制，尤其是在使用主动肾上固定时，避免了在潜在炎症区域进行技术要求高的解剖所带来的风险。
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