Torella Francesco, Scurr James R H, Barkat Mo, Fisher Robert K, McWilliams Richard G
Liverpool Vascular & Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK
Liverpool Vascular & Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK.
J Endovasc Ther. 2016 Jun;23(3):513-5. doi: 10.1177/1526602816642198. Epub 2016 Apr 4.
To describe a technique to rescue intraoperative migration of 1 of the 2 Nellix stents during endovascular sealing of abdominal aortic aneurysms (EVAS).
The technique requires advancement and inflation of a 10-mm angioplasty balloon into the inlet of the migrated stent via an upper limb approach. Inflation of the balloon allows completion of EVAS without risking the contralateral endobag occluding the inlet of the migrated stent.
This technique allows safe completion of EVAS without compromising stent patency or aneurysm seal and should be considered when intraoperative migration of a Nellix stent occurs despite appropriate precautions.
描述一种在腹主动脉瘤血管腔内修复术（EVAS）期间挽救2个Nellix支架中1个的术中移位的技术。
该技术需要通过上肢入路将一个10毫米的血管成形球囊推进并充盈到移位支架的入口处。球囊的充盈可使EVAS完成，而不会有对侧内袋阻塞移位支架入口的风险。
该技术可安全完成EVAS，而不影响支架通畅性或动脉瘤封堵，并且在尽管采取了适当预防措施但仍发生Nellix支架术中移位时应予以考虑。
