Murakami Takashi, Komatsu Sei, Kodama Kazuhisa, Shibata Toshihiko
1 Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
2 Cardiovascular Center, Osaka Gyomeikan Hospital, Osaka, Japan.
J Int Med Res. 2018 Mar;46(3):1086-1090. doi: 10.1177/0300060517731681. Epub 2017 Oct 6.
An angioscope was used to observe the intima of the aorta in an 82-year-old patient who had undergone thoracic endovascular aortic repair. The aortic angioscopic findings showed vulnerable plaques from the ascending aorta to the aortic arch that had not been visualized using preoperative computed tomography. After deploying a stent graft from zone 1 to zone 4, the proximal edge of the stent graft was adjacent to the ruptured plaque with mixed thrombi. In spite of these findings, the patient had an uneventful recovery. Angioscopy may have the potential to stratify the risk of thoracic endovascular aortic repair-related complications.
使用血管内镜观察了一名82岁接受胸主动脉腔内修复术患者的主动脉内膜。血管内镜检查发现，从升主动脉到主动脉弓存在易损斑块，术前计算机断层扫描未能显示这些斑块。在从1区到4区植入覆膜支架后，覆膜支架的近端边缘与伴有混合血栓的破裂斑块相邻。尽管有这些发现，患者恢复顺利。血管内镜检查可能具有对胸主动脉腔内修复相关并发症风险进行分层的潜力。
