用于修复腔内移植物移位的新型开放技术。

Novel open technique for repair of endograft migration.

作者信息

Gao Yue, Miserlis Dimitrios, Garg Nitin, Pipinos Iraklis

机构信息

Department of Surgery, University of Nebraska Medical Center, Omaha, Neb.

Department of Surgery and VA Research Service, VA Nebraska-Western Iowa Health Care System, Omaha, Neb.

出版信息

J Vasc Surg Cases Innov Tech. 2019 Apr 28;5(2):88-90. doi: 10.1016/j.jvscit.2018.08.007. eCollection 2019 Jun.

DOI:10.1016/j.jvscit.2018.08.007

PMID:31193434

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6529646/

Abstract

Widespread adoption of endovascular aneurysm repair has led to increased incidence of late complications, such as endograft migration. Treatment options have to be tailored to the patient's health, quality of proximal aorta, and extent of migration. Complete or partial endograft removal is associated with significant morbidity and mortality. We describe a case in which open repair with endograft preservation was employed, with the additional benefit of a sutured proximal anastomosis.

摘要

血管内动脉瘤修复术的广泛应用导致了晚期并发症（如移植物移位）的发生率增加。治疗方案必须根据患者的健康状况、近端主动脉质量和移位程度进行调整。完全或部分移除移植物会带来显著的发病率和死亡率。我们描述了一例采用保留移植物的开放修复术的病例，其额外的益处是近端吻合口采用了缝合的方式。