Vascular and Endovascular Surgery Unit, Hospital S. Maria Misericordia, University of Perugia, Perugia, Italy.
Vascular and Endovascular Surgery Unit, Hospital S. Maria Misericordia, University of Perugia, Perugia, Italy.
Ann Vasc Surg. 2021 Jan;70:559-564. doi: 10.1016/j.avsg.2020.08.008. Epub 2020 Aug 13.
To describe a novel technique developed for the treatment of patients with thoracoabdominal aortic aneurysms having narrow aortic lumens using branched endografts.
When treating patients with a narrow aortic inner diameter with branched endografts, we propose a partial graft deployment leaving the distal portion of the device inside the delivery system with the aim of spare space and facilitate target vessel cannulation.
Partial endograft deployment could be considered in the case of expected difficulty associated with encumbrance deriving from the distal straight graft portion. This technique could be useful to avoid target vessel loss and therein save procedural and fluoroscopy time.
描述一种针对使用分支型腔内移植物治疗主动脉内腔狭窄的胸腹主动脉瘤患者的新型技术。
在使用分支型腔内移植物治疗主动脉内腔直径较窄的患者时，我们建议部分释放移植物，使装置的远端部分留在输送系统内，以预留空间并方便目标血管插管。
在预计由于远端直型移植物部分带来的阻碍而导致操作困难的情况下，可以考虑部分释放腔内移植物。该技术有助于避免目标血管丢失，从而节省手术时间和透视时间。
