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严重主动脉粥样硬化患者胸主动脉腔内修复术中预防动脉粥样硬化栓塞

Prevention from Atheroembolization during Thoracic Endovascular Aortic Repair in Patients with Severe Atherosclerosis in the Aorta.

作者信息

Yamauchi Takashi, Kubota Suguru, Hasegawa Kosei

机构信息

Department of Cardiovascular Surgery, KKR Sapporo Medical Center, Sapporo, Hokkaido, Japan.

出版信息

Ann Vasc Dis. 2019 Mar 25;12(1):95-98. doi: 10.3400/avd.cr.18-00091.

DOI:10.3400/avd.cr.18-00091
PMID:30931069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6434364/
Abstract

Postoperative ischemic complications, especially cerebral infarction due to atheroembolization following thoracic endovascular aortic repair, can be catastrophic. Herein, we present a maneuver of prevention of cerebral infarction using temporary cerebral arterial perfusion from the femoral artery, with the extracorporeal circuit including roller pump and filter in case of severe atherosclerotic change in thoracic aorta.

摘要

术后缺血性并发症，尤其是胸段血管腔内主动脉修复术后因动脉粥样硬化栓塞导致的脑梗死，可能是灾难性的。在此，我们介绍一种在胸主动脉严重动脉粥样硬化改变的情况下，通过股动脉进行临时脑动脉灌注来预防脑梗死的操作方法，体外循环包括滚压泵和过滤器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/1b3df230e717/avd-12-1-cr.18-00091-figure04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/d62f734d23ce/avd-12-1-cr.18-00091-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/750a40c65099/avd-12-1-cr.18-00091-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/d811c3261c57/avd-12-1-cr.18-00091-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/1b3df230e717/avd-12-1-cr.18-00091-figure04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/d62f734d23ce/avd-12-1-cr.18-00091-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/750a40c65099/avd-12-1-cr.18-00091-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/d811c3261c57/avd-12-1-cr.18-00091-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0088/6434364/1b3df230e717/avd-12-1-cr.18-00091-figure04.jpg

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引用本文的文献

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本文引用的文献

1
Cerebral embolic protection in thoracic endovascular aortic repair.胸段主动脉腔内修复术中的脑栓塞保护
J Vasc Surg. 2018 Dec;68(6):1656-1666. doi: 10.1016/j.jvs.2017.11.098. Epub 2018 May 24.
2
Endovascular Aortic Arch Repair with Mini-Cardiopulmonary Bypass to Prevent Stroke.采用迷你体外循环进行血管内主动脉弓修复以预防中风。
Ann Vasc Surg. 2016 Oct;36:320-324. doi: 10.1016/j.avsg.2016.03.010. Epub 2016 Jul 15.
3
Clinical outcomes of different approaches to aortic arch disease.不同主动脉弓疾病治疗方法的临床结果。
J Vasc Surg. 2015 Jan;61(1):88-95. doi: 10.1016/j.jvs.2014.06.121. Epub 2014 Aug 2.
4
The efficacy and short-term results of hybrid thoracic endovascular repair into the ascending aorta for aortic arch pathologies.杂交经胸腔内血管修复术治疗主动脉弓病变并进入升主动脉的疗效及短期结果。
Eur J Cardiothorac Surg. 2014 Feb;45(2):298-304; discussion 304. doi: 10.1093/ejcts/ezt391. Epub 2013 Aug 2.
5
[Lethal cholesterol crystal embolization syndrome after operation for abdominal aortic aneurysm].腹主动脉瘤手术后的致死性胆固醇结晶栓塞综合征
Kyobu Geka. 2011 Mar;64(3):195-9.