Division of Vascular Surgery, "Vita-Salute" University, Scientific Institute H. San Raffaele, Milan, Italy.
J Endovasc Ther. 2020 Apr;27(2):221-227. doi: 10.1177/1526602820906856. Epub 2020 Feb 19.
To describe a possible application of thoracic false lumen occlusion techniques with a Candy-Plug occluder to induce false lumen thrombosis for preconditioning the spinal cord during staged fenestrated repair of postdissecting thoracoabdominal aneurysms. A Candy-Plug occluder is deployed within the thoracic false lumen after proximal entry tear coverage with a standard thoracic stent-graft during staged repair of postdissecting thoracoabdominal aneurysms. The blockade of thoracic false lumen retrograde reperfusion from distal entry tears induces a controlled thrombosis of both the thoracic false lumen and intercostal arteries. Then, when the fenestrated device is delivered 4 to 6 weeks later, the procedure is completed with standard techniques according to the staging protocols of individual centers. A new possible application of a Candy-Plug false lumen occlusion technique might be an intermediate procedure aimed at preconditioning the spinal cord by occluding the thoracic false lumen during complex staged fenestrated thoracoabdominal repairs.
描述一种可能的应用，即使用 Candy-Plug 封堵器对胸假腔进行闭塞，以在分期开窗修复夹层胸主动脉瘤期间对脊髓进行预处理，从而诱导假腔血栓形成。在分期修复夹层胸主动脉瘤过程中，在近端入口撕裂覆盖标准胸主动脉支架移植物后，将 Candy-Plug 封堵器部署在胸假腔内。阻断来自远端入口撕裂的胸假腔逆行再灌注会引起胸假腔和肋间动脉的控制性血栓形成。然后，4 至 6 周后输送开窗装置，根据各个中心的分期方案，采用标准技术完成该手术。Candy-Plug 假腔闭塞技术的一种新的可能应用可能是一种中间过程，旨在通过在复杂的分期开窗胸主动脉修复期间闭塞胸假腔来对脊髓进行预处理。
