Kuhelj Dimitrij, Avsenik Jernej, Nuredini Dašmir
1 Clinical Radiology Institute, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Vasc Endovascular Surg. 2017 Jul;51(5):338-341. doi: 10.1177/1538574417708132. Epub 2017 May 23.
The majority of the ruptured abdominal aortic aneurysms today is treated endovascularly. In cases with short aneurysm neck, chimney technique can be used to extend landing zone in emergency setting. Additionally, the repositioning ability of C3 delivery system (Gore & Associates) allows better positioning in cases with challenging anatomy. In our experience, proximal reposition of partially deployed device can be problematic in some patients. We present a case of endovascular repair of ruptured abdominal aortic aneurysm using chimney technique where proximal reposition was achieved by snaring the aortic device via axillary access.
如今，大多数破裂性腹主动脉瘤采用血管腔内治疗。对于瘤颈较短的病例，在紧急情况下可使用烟囱技术来扩大锚定区。此外，C3输送系统（戈尔公司）的重新定位能力使得在解剖结构复杂的病例中能够更好地进行定位。根据我们的经验，在一些患者中，部分展开的装置进行近端重新定位可能存在问题。我们报告一例采用烟囱技术进行破裂性腹主动脉瘤血管腔内修复的病例，该病例通过经腋路圈套主动脉装置实现了近端重新定位。
