Manunga Jesse
Department of Vascular and Endovascular Surgery, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.
Aorta (Stamford). 2018 Apr;6(2):70-74. doi: 10.1055/s-0039-1677810. Epub 2019 Feb 15.
The authors describe a technique of treating patients with aortic arch aneurysm using surgeon-modified fenestrated stent graft (SMFSG). The technique is demonstrated in a 80-year-old patient whose aneurysm was successfully excluded with a SMFSG using Cook Alpha thoracic stent graft. The device was deployed, removed from its delivery system, and a fenestration created before being mounted back on the delivery system and constrained. It was transitioned through a series of sheaths before being introduced into its original sheath. The device was implanted via a common femoral artery access site; fenestration cannulated from the left brachial artery and bridged with a stent graft.
作者描述了一种使用外科医生改良开窗支架移植物(SMFSG)治疗主动脉弓动脉瘤患者的技术。该技术在一名80岁患者身上得到了展示,其动脉瘤通过使用库克阿尔法胸主动脉支架移植物的SMFSG成功排除。该装置被展开,从输送系统中取出,在重新安装到输送系统并固定之前创建了一个开窗。在被引入其原始鞘管之前,它通过一系列鞘管进行了过渡。该装置通过股总动脉入路部位植入;开窗从左肱动脉插管并用支架移植物桥接。