Moriarty John M, Shah Raj, Hage Anthony N, Srinivasa Ravi N, Aboulhosn Jamil A
Department of Radiology, Division of Interventional Radiology, David Geffen School of Medicine at UCLA, Los Angeles, CA.
University of Arizona College of Medicine, Tucson, AZ.
Ann Vasc Surg. 2019 Aug;59:307.e1-307.e5. doi: 10.1016/j.avsg.2019.02.042. Epub 2019 May 8.
Ascending aortic pseudoaneurysms pose a difficult therapeutic dilemma. Surgical repair carries high morbidity and mortality risk and may be challenging in patients with unfavorable anatomy or prior aortic surgery. Endovascular repair is difficult due to short landing zones, need for precise delivery, and the lack of adequately sized commercially available devices. This report describes a case of back-table modification of a thoracic aortic stent graft successfully deployed using an "innominate bounce" technique.
升主动脉假性动脉瘤带来了一个棘手的治疗难题。手术修复具有较高的发病率和死亡率风险，对于解剖结构不佳或既往有主动脉手术史的患者可能具有挑战性。由于着陆区短、需要精确输送以及缺乏尺寸合适的商用器械，血管腔内修复也很困难。本报告描述了一例使用“无名动脉弹跳”技术成功部署的胸主动脉覆膜支架移植物的体外改良病例。
