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本文引用的文献

1
Less-Invasive Endovascular Treatment of Arch Aneurysm With Aberrant Right Subclavian Artery.经皮腔内血管成形术治疗合并迷走右锁骨下动脉的主动脉弓动脉瘤
Ann Thorac Surg. 2015 Sep;100(3):1089-91. doi: 10.1016/j.athoracsur.2014.10.081.
2
Total endovascular repair for acute type B dissection in the setting of right aortic arch with aberrant left subclavian artery and Kommerell diverticulum.右位主动脉弓合并迷走左锁骨下动脉及Kommerell憩室情况下急性B型主动脉夹层的全腔内修复术。
J Thorac Cardiovasc Surg. 2015 Aug;150(2):409-11. doi: 10.1016/j.jtcvs.2015.04.007. Epub 2015 Apr 9.
3
Evolution in the Management of Aberrant Subclavian Arteries and Related Kommerell Diverticulum.异常锁骨下动脉及相关Kommerell憩室的管理进展
Ann Thorac Surg. 2015 Jul;100(1):47-53. doi: 10.1016/j.athoracsur.2015.02.027. Epub 2015 Apr 23.
4
Treatment of aneurysmal aberrant right subclavian artery with triple-barrel stent graft.采用三腔覆膜支架治疗动脉瘤样异常右锁骨下动脉。
Ann Vasc Surg. 2015 Apr;29(3):595.e1-3. doi: 10.1016/j.avsg.2014.10.035. Epub 2015 Jan 14.
5
Second-generation Amplatzer Vascular Plug (AVP) for the treatment of subsequent subclavian backflow type II endoleak after TEVAR.经胸主动脉腔内修复术（TEVAR）治疗后，第二代 Amplatzer 血管塞（AVP）治疗锁骨下反流型 II 型内漏。
Cardiovasc Intervent Radiol. 2009 Nov;32(6):1264-7. doi: 10.1007/s00270-009-9517-7. Epub 2009 Mar 12.

1例去分支胸主动脉腔内修复术中异常右锁骨下动脉串联栓塞病例

A Case of Tandem Plug Embolization for an Aberrant Right Subclavian Artery during Debranching Thoracic Endovascular Aortic Repair.

作者信息

Onzuka Tatsushi, Oishi Yasuhisa, Uchiyama Hikaru, Ochiai Yoshie, Nakashima Atsuhiro, Shinozaki Kenji

机构信息

Department of Cardiovascular Surgery, JCHO Kyushu Hospital, Kitakyushu, Fukuoka, Japan.

Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Fukuoka, Japan.

出版信息

Ann Vasc Dis. 2016;9(3):228-231. doi: 10.3400/avd.cr.16-00011. Epub 2016 Aug 9.

DOI:10.3400/avd.cr.16-00011
PMID:27738469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5027264/
Abstract

Aberrant right subclavian artery embolization is problematic in debranching thoracic endovascular aortic repair, because concomitant bypass grafting to the right upper arm may hinder complete embolization. We report a case of a thoracic aortic aneurysm with aberrant right subclavian artery successfully treated with debranching thoracic endovascular aortic repair and bypass grafting. Although endoleakage was found from aberrant right subclavian artery after single use of Amplatzer vascular plug, additional deployment of Amplatzer vascular plug II completely eliminated residual endoleakage. This simple technique is useful for the aberrant right subclavian artery embolization in debranching thoracic endovascular aortic repair.

摘要

在去分支胸主动脉腔内修复术中，异常右锁骨下动脉栓塞存在问题，因为同时进行右上臂旁路移植可能会妨碍完全栓塞。我们报告一例胸主动脉瘤合并异常右锁骨下动脉患者，成功接受了去分支胸主动脉腔内修复术和旁路移植术。尽管单次使用Amplatzer血管封堵器后发现异常右锁骨下动脉存在内漏，但额外部署Amplatzer血管封堵器II完全消除了残余内漏。这种简单技术对去分支胸主动脉腔内修复术中异常右锁骨下动脉的栓塞很有用。