Watkins A Claire, Avramenko Alla, Soler Raphael, Fabre Dominique, Haulon Stephan
Aortic Center, Hôpital Marie Lannelongue, Université Paris Sud, Le Plessis-Robinson, France.
Department of Cardiothoracic Surgery, Stanford University, Stanford, Calif.
J Vasc Surg Cases Innov Tech. 2018 Dec 4;4(4):301-304. doi: 10.1016/j.jvscit.2018.09.002. eCollection 2018 Dec.
The off-the-shelf t-Branch device (Cook Medical, Bloomington, Ind) significantly advanced the endovascular treatment of ruptured thoracoabdominal aortic aneurysms. Improved techniques for expeditious implantation of the t-Branch may improve clinical outcomes for this emergent procedure. Currently, implantation is described using axillary and femoral access. We describe the repair of a ruptured thoracoabdominal aortic aneurysm exclusively through femoral access aided by a steerable sheath and newer generation, low-profile bridging stents.
现成的t形分支装置（库克医疗公司，印第安纳州布卢明顿）显著推动了破裂性胸腹主动脉瘤的血管内治疗。t形分支快速植入的改进技术可能会改善这种紧急手术的临床效果。目前，植入方法描述为使用腋动脉和股动脉入路。我们描述了一种仅通过股动脉入路，在可操纵鞘管和新一代低轮廓桥接支架辅助下修复破裂性胸腹主动脉瘤的方法。
