Göçer Hakan, Durukan Ahmet Barış
Department of Cardiology, Medical Park Uşak Hospital, Uşak, Turkey.
Department of Cardiovascular Surgery, Medical Park Uşak Hospital, Uşak, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Oct 21;28(4):706-707. doi: 10.5606/tgkdc.dergisi.2020.19817. eCollection 2020 Oct.
Cannulation of the shorter limb of an abdominal aortic endograft can be demanding. Confirmation of the accurate cannulation is equally challenging. Interventional cardiologists and cardiovascular surgeons may encounter certain difficulties during this procedure. In particular, cardiologists have a wide variety of experience in interventions from coronary practice. This novel method we describe herein consists of peripheral balloon usage in wiring the short limb of an aortic stent graft. In this method, an over-the-wire peripheral balloon is employed to centralize the wire at the gate of the short limb. The centralized wire in three-dimensional arterial lumen can cross the short limb of the graft easily.
腹主动脉内移植物较短分支的插管操作可能具有挑战性。准确插管的确认同样具有挑战性。介入心脏病学家和心血管外科医生在该操作过程中可能会遇到某些困难。特别是，心脏病学家在冠状动脉介入治疗方面有广泛的经验。我们在此描述的这种新方法包括在连接主动脉支架移植物短分支时使用外周球囊。在这种方法中，使用导丝外周球囊将导丝集中在短分支的开口处。在三维动脉腔内集中的导丝可以轻松穿过移植物的短分支。
