Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.
Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.
Ann Thorac Surg. 2020 Aug;110(2):e139-e141. doi: 10.1016/j.athoracsur.2020.03.014. Epub 2020 Apr 8.
Type Ia endoleak after thoracic endovascular aortic repair is an ominous complication that requires an aggressive treatment. Total arch replacement with a distal suture taking the native distal aorta, the stent graft, and the arch graft, by allowing a perfect closure of the proximal endoleak, represents the most common treatment in this setting. Nevertheless, such intervention continues to carry significant mortality and morbidity that are mostly related to prolonged extracorporeal circulation time and hypothermic circulatory arrest. Here, we present a technique for total arch replacement that, with the use of stent graft balloon endoclamping, avoids both hypothermia and circulatory arrest.
胸主动脉腔内修复术后的 I 型内漏是一种严重的并发症，需要积极治疗。全弓置换术，采用远端缝合方式处理固有远端主动脉、支架移植物和弓部移植物，可完美封闭近端内漏，是该情况下最常见的治疗方法。然而，这种介入治疗仍然存在显著的死亡率和发病率，主要与体外循环时间延长和低温停循环有关。在此，我们介绍一种全弓置换术技术，该技术使用支架移植物球囊腔内阻断，可避免低温和停循环。
