覆膜支架在动脉导管及其相关病变中的应用。
Use of stent-grafts for the ductus arteriosus and its related lesions.
作者信息
Soeda Takeshi, Saitoh Yuhei, Yokoi Yoshihiko, Yuri Koichi, Katayama Hideyuki, Konegawa Yasushi
机构信息
1 Department of Cardiovascular Surgery, Matsue Red Cross Hospital, Shimane, Japan.
2 Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
出版信息
Asian Cardiovasc Thorac Ann. 2018 Oct;26(8):622-624. doi: 10.1177/0218492316686478. Epub 2016 Dec 23.
Five cases of ductal lesions with various anatomies have been successfully treated by thoracic endovascular aortic replacement in recent years; 4 using mainly fenestrated stent-grafts, and one using a non-fenestrated stent-graft. Considering the invasive nature of open surgery and the anatomical limitations of the catheter technique for occluding a patent ductus in many adult cases, thoracic endovascular aortic replacement should be the first option because of its broad applicability for ductal lesions.
近年来，五例具有不同解剖结构的导管病变通过胸主动脉腔内修复术成功得到治疗；4例主要使用开窗支架型人工血管，1例使用非开窗支架型人工血管。考虑到开放手术的侵入性以及在许多成人病例中导管技术在封堵动脉导管时的解剖学局限性，胸主动脉腔内修复术因其对导管病变的广泛适用性应成为首选。
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