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使用外科医生改良的开窗支架型人工血管进行主动脉弓动脉瘤的血管腔内修复术。

Endovascular Repair of Aortic Arch Aneurysm with Surgeon-Modified Fenestrated Stent Graft.

作者信息

Manunga Jesse

机构信息

Department of Vascular and Endovascular Surgery, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.

出版信息

Aorta (Stamford). 2018 Apr;6(2):70-74. doi: 10.1055/s-0039-1677810. Epub 2019 Feb 15.

DOI:10.1055/s-0039-1677810
PMID:30769366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6377362/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/e2092138bd8a/10-1055-s-0039-1677810-i170106-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/6f5f097d3a5e/10-1055-s-0039-1677810-i170106-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/28be8c751dac/10-1055-s-0039-1677810-i170106-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/8b211ad519a6/10-1055-s-0039-1677810-i170106-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/e2092138bd8a/10-1055-s-0039-1677810-i170106-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/6f5f097d3a5e/10-1055-s-0039-1677810-i170106-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/28be8c751dac/10-1055-s-0039-1677810-i170106-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/8b211ad519a6/10-1055-s-0039-1677810-i170106-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3e9/6377362/e2092138bd8a/10-1055-s-0039-1677810-i170106-4.jpg

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