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经皮全股动脉入路用于定制分支型器械腔内修复胸腹主动脉瘤

Total Percutaneous Femoral Approach for Branched Custom-Made Device Endovascular Repair of Thoracoabdominal Aneurysm.

作者信息

Leong Benjamin Dak Keung, Joseph Feona Sibangun

机构信息

CardioVascular & Lung Centre, Gleneagles Hospital.

Unit of Vascular Surgery, Queen Elizabeth Hospital.

出版信息

Ann Vasc Dis. 2020 Sep 25;13(3):347-350. doi: 10.3400/avd.cr.20-00080.

DOI:10.3400/avd.cr.20-00080
PMID:33384745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7751077/
Abstract

Thoracoabdominal aortic aneurysm (TAAA) is a challenging vascular condition to manage. Traditionally, open surgical repair has been the standard of treatment. Endovascular repair for TAAA has gained much popularity because it is a minimally invasive approach that results in better mortality and morbidity profiles. We report a case of TAAA successfully treated with a custom-made multi-branch device through a total femoral approach with the use of a steerable sheath for branch cannulation and deployment of bridging stents to targeted visceral vessels. This approach avoided complications related to upper extremity access, such as stroke, and allowed shorter operative time with better workstation ergonomics.

摘要

胸腹主动脉瘤（TAAA）是一种治疗颇具挑战性的血管疾病。传统上，开放手术修复一直是治疗的标准方法。TAAA的血管内修复术因其是一种微创方法，能带来更好的死亡率和发病率数据而备受欢迎。我们报告了一例TAAA患者，通过全股动脉入路，使用可转向鞘管进行分支插管，并将桥接支架部署到目标内脏血管，成功地用定制的多分支装置进行了治疗。这种方法避免了与上肢入路相关的并发症，如中风，并缩短了手术时间，同时改善了手术台的人体工程学设计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/207a/7751077/f63593ecbbaa/avd-13-3-cr.20-00080-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/207a/7751077/867e9dcebdc0/avd-13-3-cr.20-00080-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/207a/7751077/a0f0475c5c99/avd-13-3-cr.20-00080-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/207a/7751077/f63593ecbbaa/avd-13-3-cr.20-00080-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/207a/7751077/867e9dcebdc0/avd-13-3-cr.20-00080-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/207a/7751077/a0f0475c5c99/avd-13-3-cr.20-00080-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/207a/7751077/f63593ecbbaa/avd-13-3-cr.20-00080-figure03.jpg

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本文引用的文献

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Systematic review and meta-analysis of published studies on endovascular repair of thoracoabdominal aortic aneurysms with the t-Branch off-the-shelf multibranched endograft.基于 t-Branch 分支型覆膜支架的胸主动脉瘤腔内修复术的发表文献的系统评价和荟萃分析。
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A novel all-retrograde approach for t-Branch implantation in ruptured thoracoabdominal aneurysm.一种用于破裂胸腹主动脉瘤t型分支植入的全新全逆行方法。
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Outcomes of 3309 thoracoabdominal aortic aneurysm repairs.3309例胸腹主动脉瘤修复手术的结果
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Open repair of thoracoabdominal aortic aneurysm in the modern surgical era: contemporary outcomes in 509 patients.胸主动脉腹主动脉瘤的开放性修复术在现代外科时代：509 例患者的当代结果。
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Branched endografts for thoracoabdominal aneurysms.分叉型腔内移植物治疗胸腹主动脉瘤。
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Endovascular treatment of thoracoabdominal aortic aneurysms.胸腹主动脉瘤的血管内治疗
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