Tsilimparis Nikolaos, Fiorucci Beatrice, Debus Eike Sebastian, Rohlffs Fiona, Kölbel Tilo
1 Department of Vascular Medicine, German Aortic Center, Hamburg, Germany.
2 Unit of Vascular Surgery, Ospedale S. Maria della Misericordia, University of Perugia, Italy.
J Endovasc Ther. 2017 Jun;24(3):397-404. doi: 10.1177/1526602817690730. Epub 2017 Feb 6.
To describe the planning and technique for implantation of the t-Branch off-the-shelf multibranched aortic endograft.
Total endovascular repair of thoracoabdominal aneurysms (TAAAs) with branched endografts is one of the most important paradigm shifts in the past decade. The t-Branch endograft, an off-the-shelf multibranched graft introduced in the European market in late 2012, allows treatment of patients with suitable anatomy in both the elective and urgent settings to avoid delays related to manufacturing time of custom-made devices. The steps required for the planning and implantation of the device are described, including some tips and tricks.
The use of an off-the-shelf multibranched device is an appealing option in the treatment of TAAAs, especially in the acute setting. Nevertheless, results of complex aortic repairs with this specific device are associated with a learning curve and can be improved by identifying a number of intraoperative risks and paying heed to several technical details.
描述现成的t型分支多分支主动脉内移植物的植入规划和技术。
使用分支型内移植物对胸腹主动脉瘤（TAAA）进行全血管腔内修复是过去十年中最重要的范式转变之一。t型分支内移植物是2012年末在欧洲市场推出的一种现成的多分支移植物，可在择期和紧急情况下治疗解剖结构合适的患者，以避免因定制器械制造时间而导致的延误。文中描述了该器械植入规划和植入所需的步骤，包括一些提示和技巧。
使用现成的多分支器械是治疗TAAA的一个有吸引力的选择，尤其是在急性情况下。然而，使用这种特定器械进行复杂主动脉修复的结果与学习曲线相关，通过识别一些术中风险并注意若干技术细节可以改善结果。
