Kolvenbach Ralf Robert
Catholic Hospital Group Duesseldorf, Department of Vascular Surgery and Endovascular Therapy, Augusta Hospital, Duesseldorf, Germany.
J Vasc Bras. 2017 Oct-Dec;16(4):293-303. doi: 10.1590/1677-5449.011417.
Thoracoabdominal aortic aneurysms (TAAA) present special challenges for repair due to their extent, their distinctive pathology, and the fact that they typically cross the ostia of one or more visceral branch vessels. Historically, the established treatment for TAAA was open surgical repair, with the first procedure reported in 1955. Endovascular repair of TAAA with fenestrated and/ or branched endografts, has been studied since the beginning of the current century as a means of mechanical aneurysm exclusion. More recently, flow modulator stents have been employed with the aim at reducing shear stress on aortic aneurysmal wall. In this review we present technical and main results of these techniques, based on literature review and personal experience.
胸腹主动脉瘤（TAAA）因其范围、独特的病理学特征以及通常跨越一根或多根内脏分支血管开口的事实，给修复带来了特殊挑战。从历史上看，TAAA既定的治疗方法是开放手术修复，1955年报道了首例手术。自本世纪初以来，就一直在研究使用带开窗和/或分支型腔内移植物对TAAA进行血管腔内修复，作为一种机械性排除动脉瘤的方法。最近，已采用血流调节器支架，旨在降低主动脉瘤壁上的剪切应力。在本综述中，我们基于文献综述和个人经验，介绍这些技术的技术要点和主要结果。
