中国主动脉弓上分支重建中的烟囱技术：对中国已发表经验的系统与批判性综述
Chimney Technique in Supra-Aortic Branch Reconstruction in China: A Systematic and Critical Review of Chinese Published Experience.
作者信息
Zhao Yang, Shi Yawei, Wang Mian, Cui Jin, Chen Yitian, Zheng Liang, Yin Henghui, Chang Guangqi
机构信息
1 Department of Vascular Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
2 Department of Thyroid and Breast Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
出版信息
Vasc Endovascular Surg. 2017 Aug;51(6):429-435. doi: 10.1177/1538574417716042. Epub 2017 Jun 27.
BACKGROUND
The chimney graft (CG) technique has been proposed as a complete endovascular supra-aortic branch reconstruction for aortic pathologies. Due to the rapid growth of thoracic endovascular aortic repair (TEVAR) in China, we aimed to investigate the current data of the CG technique in this most populous country.
METHODS
Studies of supra-aortic branch reconstruction using the CG technique from Chinese centers were collected and analyzed.
RESULTS
A total of 294 patients from Chinese centers who underwent TEVAR with CGs were included. There were 301 CGs performed, with a technical successful rate of 97.7%. The rate of early type I endoleaks was 7.1%, and the patency rate of the CGs was desirable. Balloon-expandable bare CGs were significantly associated with good early outcomes and a low rate of endoleaks.
CONCLUSION
Current data from China revealed positive outcomes using CGs for supra-aortic branch reconstruction. Balloon-expandable bare CGs may be the first choice according to the data available but should be considered with caution.
背景
烟囱式移植物（CG）技术已被提出作为一种用于主动脉病变的完整血管内主动脉弓上分支重建方法。由于中国胸主动脉腔内修复术（TEVAR）的快速发展，我们旨在调查这个人口最多的国家中CG技术的当前数据。
方法
收集并分析来自中国各中心使用CG技术进行主动脉弓上分支重建的研究。
结果
纳入了来自中国各中心共294例行TEVAR联合CGs的患者。共进行了301次CG植入，技术成功率为97.7%。早期I型内漏发生率为7.1%，CG的通畅率良好。球囊扩张式裸CG与良好的早期结局和低内漏率显著相关。
结论
来自中国的当前数据显示，使用CGs进行主动脉弓上分支重建取得了积极的结果。根据现有数据，球囊扩张式裸CG可能是首选，但应谨慎考虑。
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