升主动脉假性动脉瘤的微创修复：高危患者开放手术修复的替代方法
Minimally Invasive Repair of Ascending Aortic Pseudoaneurysms: An Alternative to Open Surgical Repair in High-Risk Patients.
作者信息
Zucker David J S, Smith Aaron, Srinivasa Ravi N, Yang Eric H, Kwon Murray H, Moriarty John M
机构信息
Department of Radiology, Division of Vascular and Interventional Radiology, University of California Los Angeles Medical Center, Los Angeles, California.
Department Medicine, Division of Vascular and Interventional Radiology, University of California Los Angeles Medical Center, Los Angeles, California.
出版信息
J Vasc Interv Radiol. 2020 Aug;31(8):1342-1347.e1. doi: 10.1016/j.jvir.2020.01.035. Epub 2020 Jul 15.
Development of a pseudoaneurysm of the ascending aorta is an uncommon complication of aortic surgery. Several nonsurgical techniques are available for treatment of ascending aortic pseudoaneurysms (AAPs). This report outlines a single-center retrospective experience with 14 nonsurgical procedures for treatment of AAPs in 10 patients. Modified stent grafts, septal defect occlusion devices, coil embolics, and liquid embolics were deployed by transthoracic and endovascular approaches. Complete stasis of the AAP was achieved in 7 of 10 patients (70%). Mean postprocedural recoveries occurred within 3.5 days. Nonsurgical techniques for repair of AAPs offer a comparatively safe and effective alternative to open surgical repair.
升主动脉假性动脉瘤的形成是主动脉手术一种罕见的并发症。有几种非手术技术可用于治疗升主动脉假性动脉瘤（AAPs）。本报告概述了在一个中心对10例患者采用14种非手术方法治疗AAPs的回顾性经验。通过经胸和血管内途径部署改良支架移植物、房间隔缺损封堵装置、弹簧圈栓塞剂和液体栓塞剂。10例患者中有7例（70%）实现了AAP的完全闭塞。术后平均恢复时间为3.5天。AAPs的非手术修复技术为开放手术修复提供了一种相对安全有效的替代方法。
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