Morisaki Akimasa, Sohgawa Etsuji, Fujii Hiromichi, Yamane Kokoro, Shibata Toshihiko
Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Department of Diagnosis and Interventional Radiology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Ann Vasc Dis. 2018 Dec 25;11(4):565-568. doi: 10.3400/avd.cr.18-00088.
Thoracic endovascular repair (TEVAR) is a safe treatment alternative to open repair for blunt traumatic aortic injury (BTAI). A 29 year-old-female had multiple traffic injuries, including BTAI located in lesser curve of the isthmus close to the left common carotid artery with an isolated left vertebral artery. TEVAR with simple covering of the left subclavian artery was not adequate to prevent the endoleak. We considered fenestrated TEVAR with RELAY® PLUS to ensure blood flow to the left common carotid artery and reconstruction of the left isolated vertebral and left subclavian artery. The fenestrated TEVAR with a debranching technique provided good results without device-related complications.
胸主动脉腔内修复术（TEVAR）是钝性创伤性主动脉损伤（BTAI）开放修复术的一种安全替代治疗方法。一名29岁女性遭受多处交通伤，其中BTAI位于靠近左颈总动脉的峡部小弯处，且左椎动脉孤立。单纯覆盖左锁骨下动脉的TEVAR不足以防止内漏。我们考虑使用RELAY® PLUS开窗TEVAR来确保左颈总动脉的血流，并重建孤立的左椎动脉和左锁骨下动脉。采用去分支技术的开窗TEVAR取得了良好效果，且无器械相关并发症。
