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使用即弃的四分支 G 型分叉支架治疗复杂胸腹主动脉/腹主动脉瘤的全腔内修复术。

Total Endovascular Repair of Complex Thoracoabdominal/Abdominal Aortic Aneurysms with a Four-Branched Off-the-Shelf G-Branch™ Stent Graft.

机构信息

Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, People's Republic of China.

Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, People's Republic of China.

出版信息

Ann Vasc Surg. 2021 Feb;71:534.e7-534.e12. doi: 10.1016/j.avsg.2020.08.155. Epub 2020 Sep 16.

DOI:10.1016/j.avsg.2020.08.155
PMID:32946997
Abstract

BACKGROUND

This study was performed to demonstrate the feasibility and effectiveness of a novel off-the-shelf endograft (G-Branch™; Lifetech Scientific, Shenzhen, China) for the treatment of patients with complex thoracoabdominal/abdominal aortic aneurysms.

METHODS

Three patients (1 with a suprarenal abdominal aortic aneurysm and 2 with thoracoabdominal aortic aneurysms) were treated with the G-Branch endograft involving 2 proximal inner branches for the celiac axis and superior mesenteric artery and 2 distal side directional branches for the bilateral renal arteries.

RESULTS

Technical success was achieved in all 3 patients, and no postoperative complications occurred. At 6-month follow-up, no adverse events occurred, and all the target vessels were patent.

CONCLUSIONS

The newly developed G-Branch device allows the achievement of total endovascular revascularization of the visceral and renal arteries. Use of this device is feasible and effective. Long-term follow-up and a larger clinical trial are necessary to evaluate its reliability and durability.

摘要

背景

本研究旨在展示一种新型即市分支型腹主动脉覆膜支架(G-Branch™;深圳乐普科生物技术股份有限公司)治疗复杂胸腹主动脉/腹主动脉瘤的可行性和有效性。

方法

3 名患者(1 例肾上腹主动脉瘤和 2 例胸腹主动脉瘤)采用 G-Branch 覆膜支架治疗,该支架包含 2 个近端内脏分支用于内脏动脉(腹腔干和肠系膜上动脉),2 个远端分支用于双侧肾动脉。

结果

所有 3 名患者均获得技术成功,无术后并发症。6 个月随访时,未发生不良事件,所有靶血管均通畅。

结论

新开发的 G-Branch 装置可实现内脏动脉和肾动脉的完全腔内血管重建。该装置的使用是可行且有效的。需要进行长期随访和更大规模的临床试验来评估其可靠性和耐久性。

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引用本文的文献

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Aortic hemodynamic and morphological analysis before and after repair of thoracoabdominal aortic aneurysm using a G-Branch endograft.使用G型分支血管内移植物修复胸腹主动脉瘤前后的主动脉血流动力学及形态学分析
Front Physiol. 2023 Aug 4;14:1234989. doi: 10.3389/fphys.2023.1234989. eCollection 2023.