Lin Ting Chao, Shih Chun Che
Department of Cardiovascular Surgery, Taipei Veterans General Hospital, Taoyuan Branch, Taoyuan; ; Department of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Department of Cardiovascular Surgery, Taipei Veterans General Hospital; ; Department of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Acta Cardiol Sin. 2017 Jan;33(1):1-9. doi: 10.6515/acs20160401a.
Thoracoabdominal aortic aneurysm (TAAA) is a complicated aortic disease. Most treatments for other aortic aneurysms have already shifted from conventional open surgery to endovascular operation; but for TAAA, open surgery remains the gold standard treatment. Several alternative treatments such as hybrid operation as well as endovascular techniques are utilized for the treatment of TAAA. Some of the procedures combine off-the-shelf devices such as the chimney procedure. Some other procedures required custom-made specialized stent grafts. A new off-the-shelf multi-branched endograft, T-branch graft, was released in late 2012, though it was not introduced into Taiwan until 2015. Ultimately, also we plan to report the experience of multi-branched endograft in Taiwan.
胸腹主动脉瘤（TAAA）是一种复杂的主动脉疾病。大多数其他主动脉瘤的治疗已从传统的开放手术转向血管内手术；但对于TAAA，开放手术仍然是金标准治疗方法。一些替代治疗方法，如杂交手术以及血管内技术，被用于治疗TAAA。其中一些手术结合了现成的装置，如烟囱手术。其他一些手术则需要定制的专用支架移植物。一种新的现成多分支内移植物，T型分支移植物，于2012年末推出，不过直到2015年才引入台湾。最终，我们也计划报告台湾使用多分支内移植物的经验。
