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Ann Vasc Dis. 2016;9(4):345-348. doi: 10.3400/avd.cr.16-00066. Epub 2016 Nov 23.
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Editor's choice - A shaggy aorta is associated with mesenteric embolisation in patients undergoing fenestrated endografts to treat paravisceral aortic aneurysms.编辑推荐 - 在接受开窗内脏动脉覆膜支架治疗内脏动脉瘤的患者中，主动脉蓬乱与肠系膜栓塞相关。
Eur J Vasc Endovasc Surg. 2014 Apr;47(4):374-9. doi: 10.1016/j.ejvs.2013.12.027. Epub 2014 Feb 4.
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A new method for protection from shower embolism during TEVAR on a shaggy aorta.一种在杂乱主动脉上行胸主动脉腔内修复术（TEVAR）时预防淋浴样栓塞的新方法。
Gen Thorac Cardiovasc Surg. 2015 Feb;63(2):105-8. doi: 10.1007/s11748-013-0278-5. Epub 2013 Jun 22.
3
Thoracic endovascular aortic repair with visceral arteries intermittent clamp technique for descending thoracic aortic aneurysm with shaggy aorta.采用内脏动脉间歇性夹闭技术行胸主动脉腔内修复术治疗主动脉表面粗糙的降主动脉瘤
Ann Vasc Surg. 2013 Oct;27(7):974.e11-4. doi: 10.1016/j.avsg.2013.02.006. Epub 2013 Jun 15.
4
Shaggy and calcified aorta: surgical implications.主动脉粗糙且钙化：手术意义
Gen Thorac Cardiovasc Surg. 2013 Jun;61(6):301-13. doi: 10.1007/s11748-013-0203-y. Epub 2013 Feb 13.
5
Endovascular repair for concomitant multilevel aortic disease.
Eur J Cardiothorac Surg. 2005 Sep;28(3):478-82. doi: 10.1016/j.ejcts.2005.05.021.

在伴有严重动脉粥样硬化性主动脉的胸腹部动脉瘤的同期血管内治疗中预防栓塞

Prevention of Embolization in Concomitant Endovascular Therapy for Thoracic and Abdominal Aneurysms with Severely Atheromatous Aorta.

作者信息

Takano Tomohiro, Takase Shinya, Kagoshima Akihito, Yokoyama Hitoshi

机构信息

Department of Cardiovascular Surgery, Fukushima Medical University Hospital, Fukushima, Fukushima, Japan.

出版信息

Ann Vasc Dis. 2016;9(4):345-348. doi: 10.3400/avd.cr.16-00066. Epub 2016 Nov 23.

DOI:10.3400/avd.cr.16-00066
PMID:28018512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5175000/
Abstract

A 74-year-old man with multiple aortic aneurysms and shaggy aorta was simultaneously treated by conventional open repair for an abdominal aortic aneurysm and endoluminal stent grafting for a thoracic aortic aneurysm. We performed intermittent clamping of the visceral and carotid arteries under an extracorporeal circulation circuit without a blood flow pump, which lead to the avoidance of embolization in spite of the disadvantage of endoluminal stent grafting for atheromatous aorta.

摘要

一名患有多发性主动脉瘤且主动脉表面不光滑的74岁男性，同时接受了传统开放修复术治疗腹主动脉瘤和腔内支架植入术治疗胸主动脉瘤。我们在没有血流泵的体外循环回路下间歇性夹闭内脏动脉和颈动脉，尽管腔内支架植入术对于动脉粥样硬化性主动脉存在缺点，但这避免了栓塞的发生。