采用与主动脉弓手术相关的STABILISE技术进行主动脉夹层修复：两例报告。
Aortic Dissection Repair Using the STABILISE Technique Associated with Arch Procedures: Report of Two Cases.
作者信息
Lopes Alice, Gouveia Melo Ryan, Gomes Miguel L, Garrido Pedro, Junqueira Nádia, Sobrinho Gonçalo, Fernandes E Fernandes Ruy, Leitão João, Nobre Ângelo, Pedro Luís M
机构信息
Vascular Surgery Department, Heart and Vessels Division, Hospital de Santa Maria (CHLN), Lisbon, Portugal.
Lisbon Academic Medical Centre, Lisbon, Portugal.
出版信息
EJVES Short Rep. 2019 Feb 13;42:26-30. doi: 10.1016/j.ejvssr.2019.01.003. eCollection 2019.
INTRODUCTION
The stent assisted balloon induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique is being increasingly used for the treatment of complicated aortic dissections. However, as it is a fairly recent technique, the scientific information is limited.
REPORT
In this paper we report two cases of the STABILISE technique associated with procedures in the ascending aorta and supra-aortic trunks, consisting of a "frozen elephant trunk" procedure in one case and in the other, a carotid endarterectomy associated with reimplantation of the vertebral artery and partial arch debranching.
DISCUSSION
In conclusion, while acknowledging the need for longer follow up and greater experience to support the safety and efficacy of this procedure, the two cases reported confirm that the STABILISE technique is a valid endovascular alternative in the treatment of complicated aortic dissections.
引言
支架辅助球囊诱导内膜撕裂和再内皮化的主动脉夹层修复术（STABILISE）越来越多地用于治疗复杂主动脉夹层。然而，由于这是一项相当新的技术，科学信息有限。
报告
在本文中，我们报告了两例与升主动脉和主动脉弓上分支手术相关的STABILISE技术病例，其中一例为“冰冻象鼻”手术，另一例为颈动脉内膜切除术，同时进行椎动脉再植入和部分主动脉弓去分支术。
讨论
总之，虽然认识到需要更长时间的随访和更多经验来支持该手术的安全性和有效性，但所报告的两例病例证实，STABILISE技术是治疗复杂主动脉夹层的一种有效的血管腔内替代方法。
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