在复杂颈部血管内动脉瘤修复中，使用Endurant覆膜支架的反向滑块技术实现精确近端密封。

Morikage Noriyasu, Nishimura Junichi, Mizoguchi Takahiro, Takeuchi Yuriko, Nagase Takashi, Samura Makoto, Harada Takasuke, Aga Kenichiro, Masuda Munetaka, Hamano Kimikazu

Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.

Department of Cardiovascular Surgery, Saiseikai Yokohama Nanbu Hospital, Yokohama, Japan.

J Vasc Surg Cases Innov Tech. 2019 Jun 29;5(3):332-337. doi: 10.1016/j.jvscit.2019.03.012. eCollection 2019 Sep.

This report introduces the reverse slider technique to obtain proximal sealing effectively in endovascular aneurysm repair in short or angulated necks. It is the deployment process of the stent graft main body by repeatedly rotating and reversing the external slider with slight loosening of the suprarenal stent. This method helps obtain accurate placement of the proximal edge and effective sealing on the greater curvature side even in short and angulated necks. It is an effective method of extending the proximal sealing zone. It is gained by changing the deployment process with the Endurant stent graft (Medtronic, Santa Rosa, Calif) as an existing popular device.

本报告介绍了一种反向滑块技术，该技术可在短颈或成角颈的血管内动脉瘤修复中有效实现近端密封。它是通过在稍微松开肾上支架的情况下反复旋转和反转外部滑块来展开支架移植物主体的过程。即使在短颈和成角颈的情况下，该方法也有助于实现近端边缘的精确放置以及在大弯侧的有效密封。它是扩展近端密封区的一种有效方法。它是通过改变使用现有常用装置Endurant支架移植物（美敦力公司，加利福尼亚州圣罗莎）的展开过程而获得的。