戈尔特斯杂交血管移植物逆行用于复杂颈动脉串联病变
Retrograde Use of Gore Hybrid Vascular Graft for a Complex Carotid Tandem Lesion.
作者信息
Quaglino Simone, Laurito Antonella, Monti Andrea, Maselli Mauro, Manzo Paola, Sperti Francesca, Tavolini Valeria, Gaggiano Andrea
机构信息
Ospedale Civile Cardinal Massaia, Division of Vascular and Endovascular Surgery, Asti, Italy.
Ospedale Civile Cardinal Massaia, Division of Vascular and Endovascular Surgery, Asti, Italy.
出版信息
Ann Vasc Surg. 2019 Feb;55:310.e5-310.e8. doi: 10.1016/j.avsg.2018.07.056. Epub 2018 Oct 2.
BACKGROUND
Successful treatment of tandem lesions of carotid arteries may represent a challenging goal for the vascular specialist. In the "endovascular era," a hybrid approach may represent a viable option.
CASE REPORT
We describe the case of a 65-year-old patient with severe postcarotid endarterectomy recurrent stenosis of the internal carotid artery (ICA) associated with primitive stenosis of the proximal common carotid artery (CCA) treated with retrograde stenting and carotid bypass using the Gore Hybrid Vascular Graft (GHVG).
CONCLUSIONS
We demonstrated the effectiveness of the hybrid technique using GHVG in treating carotid tandem lesions involving CCA and ICA.
背景
成功治疗颈动脉串联病变对血管专科医生而言可能是一个具有挑战性的目标。在“血管腔内治疗时代”，一种杂交手术方式可能是一种可行的选择。
病例报告
我们描述了一例65岁患者的病例，该患者在行颈动脉内膜剥脱术后出现颈内动脉（ICA）严重复发性狭窄，同时合并颈总动脉（CCA）近端原发性狭窄，采用逆行支架置入术及使用戈尔杂交血管移植物（GHVG）行颈动脉旁路移植术进行治疗。
结论
我们证明了使用GHVG的杂交技术在治疗累及CCA和ICA的颈动脉串联病变中的有效性。
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