Fernandez Prendes Carlota, Mascia Daniele, Melissano Germano, Chiesa Roberto, Kahlberg Andrea
Vascular Surgery, Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Milano, Italy; Vascular Surgery, Hospital Universitario Central de Asturias, Oviedo, Spain.
Vascular Surgery, Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Milano, Italy.
Ann Vasc Surg. 2019 Nov;61:461-465. doi: 10.1016/j.avsg.2019.05.023. Epub 2019 Aug 2.
The purpose of this article is to describe the techniques used to deploy a Gore® Excluder® abdominal aortic aneurysm (AAA) and iliac branch endoprosthesis (IBE) in a short aortoiliac anatomy, expanding treatment options of a patient otherwise unfit for endovascular repair. Four strategies were used to shorten the total length of the components, achieving a reduction of over 3 cm during deployment: a pull-pull technique on a through-and-through guidewire to accommodate the IBE onto the iliac bifurcation, deployment in a "cross-limb" configuration, foreshortening of the iliac bridging component during release, and final proximal shortening of the AAA main body thanks to the C3 repositionable delivery system.
本文的目的是描述在短主动脉髂部解剖结构中部署戈尔®腹主动脉瘤（AAA）和髂支血管内修复装置（IBE）所使用的技术，从而为原本不适合进行血管内修复的患者拓展治疗选择。采用了四种策略来缩短组件的总长度，在部署过程中实现了超过3厘米的缩短：在贯穿导丝上采用拉拉技术，以便将IBE放置到髂动脉分叉处；以“交叉肢体”配置进行部署；在释放过程中缩短髂部桥接组件；以及借助C3可重新定位输送系统最终对AAA主体进行近端缩短。
