孤立肾患者的胸主动脉瘤修复：杂交手术作为一种补救措施
Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure.
作者信息
Bakoyiannis Chris, Moris Demetrios, Karaolanis George, Patelis Nikolaos, Schizas Dimitrios, Georgopoulos Sotirios, Liakakos Theodoros
机构信息
Department of Surgery, Laikon General Hospital , Athens , Greece.
Lerner Research Institute, Cleveland Clinic , Cleveland, OH , USA.
出版信息
Front Surg. 2016 Nov 10;3:62. doi: 10.3389/fsurg.2016.00062. eCollection 2016.
Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft. Through the graft, a stent was introduced in the thoracic aorta. With the use of contrast material, the right position of the graft was confirmed.
胸主动脉腔内修复术（TEVAR）是治疗胸主动脉瘤（TAA）的一种新兴治疗方法。血管腔内入路是一项挑战。我们报告了一例单肾且患有6.4厘米胸主动脉瘤患者的新型TEVAR技术。试图通过髂动脉置入鞘管未成功。于是决定进行杂交TEVAR。通过腋-股动脉旁路实现对孤立肾的保护，随后在主动脉与分叉移植物之间进行端侧吻合。通过移植物，将支架引入胸主动脉。使用造影剂确认移植物位置正确。
Zotero 插件