Kitahara Hiroto, Yoshitake Akihiro, Okamoto Kazuma, Hayashida Kentaro, Fukuda Keiichi, Shimizu Hideyuki
Department of Cardiovascular Surgery, Keio University Hospital, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Department of Cardiology, Keio University Hospital, Tokyo, Japan.
Cardiovasc Interv Ther. 2017 Apr;32(2):196-198. doi: 10.1007/s12928-016-0394-0. Epub 2016 Apr 22.
We present a safe and effective method of transcatheter aortic valve implantation using an artificial graft anastomosed to the common iliac artery. A 10-mm woven polyethylene terephthalate graft is anastomosed to the common iliac artery. A guide wire and an expandable sheath are inserted through the graft, and bleeding from the puncture site is controlled by three tourniquets circled around the graft. Using this technique, we can bring the graft outside of the retroperitoneal space, allowing easy manipulation of the guide-wire and sheath, unimpeded by the constraints of the deep and narrow retroperitoneal space.
我们展示了一种使用人工移植物与髂总动脉吻合进行经导管主动脉瓣植入的安全有效方法。将一段10毫米编织的聚对苯二甲酸乙二酯移植物与髂总动脉吻合。通过移植物插入导丝和可扩张鞘管，并通过围绕移植物环绕的三个止血带来控制穿刺部位的出血。使用这种技术，我们可以将移植物带到腹膜后间隙之外，从而便于导丝和鞘管的操作，不受深部狭窄腹膜后间隙的限制。
