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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。

Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair.

作者信息

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

机构信息

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.

出版信息

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

DOI:10.1016/j.jvscit.2019.03.012
PMID:31334412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6614706/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/223afcb4ac03/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/f795c995b509/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/53fdd51f475f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/2ae8d6b8155c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/223afcb4ac03/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/f795c995b509/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/53fdd51f475f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/2ae8d6b8155c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a2/6614706/223afcb4ac03/gr4.jpg

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本文引用的文献

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J Endovasc Ther. 2017 Jun;24(3):435-439. doi: 10.1177/1526602817692790. Epub 2017 Feb 16.
2
Final results of the Endurant Stent Graft System in the United States regulatory trial.美国监管试验中Endurant覆膜支架系统的最终结果。
J Vasc Surg. 2016 Jul;64(1):55-62. doi: 10.1016/j.jvs.2015.12.048. Epub 2016 Apr 28.
3
Risk factors for proximal neck complications after endovascular aneurysm repair using the endurant stentgraft.
B型急性主动脉夹层作为血管腔内腹主动脉修复术后的围手术期并发症
Ann Vasc Dis. 2021 Mar 25;14(1):83-87. doi: 10.3400/avd.cr.20-00107.
使用Endurant覆膜支架进行血管内动脉瘤修复术后近端颈部并发症的危险因素。
Eur J Vasc Endovasc Surg. 2015 Feb;49(2):156-62. doi: 10.1016/j.ejvs.2014.10.003. Epub 2014 Nov 7.
4
Immediate and two-year outcomes after EVAR in "on-label" and "off-label" neck anatomies using different commercially available devices. analysis of the experience of two Italian vascular centers.使用不同市售器械在“标签内”和“标签外”颈部解剖结构中进行腔内血管修复术（EVAR）后的即刻和两年随访结果。对两个意大利血管中心经验的分析
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