Pena Constantino S, Schiro Brian J, Benenati James F
Miami Cardiac and Vascular Institute, Miami, FL.
Miami Cardiac and Vascular Institute, Miami, FL.
Tech Vasc Interv Radiol. 2018 Sep;21(3):156-164. doi: 10.1053/j.tvir.2018.06.005. Epub 2018 Jun 14.
In order to offer more patients a durable endovascular abdominal aortic aneurysm repair parallel, branched, and fenestrated grafts have been utilized. These treatments aim at increasing the quality of the proximal aortic graft landing zone by incorporating the healthy aortic neck at the renal and visceral arteries. Fenestrated endovascular aneurysm repair has provided a standardized and approved treatment option for patients who may otherwise not be candidates for endovascular repair. We discuss the technique of fenestrated endovascular aneurysm repair and the challenges involved in selecting the appropriate patients.
为了给更多患者提供持久的腹主动脉瘤腔内修复，平行、分支和开窗型移植物已被应用。这些治疗旨在通过将肾动脉和内脏动脉处的健康主动脉颈纳入其中，提高主动脉近端移植物着陆区的质量。开窗型腹主动脉瘤腔内修复术为那些原本可能不适合腔内修复的患者提供了一种标准化且已获批准的治疗选择。我们讨论了开窗型腹主动脉瘤腔内修复术的技术以及选择合适患者所涉及的挑战。
