Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Department of Cardiology, Northside Hospital/Tampa Bay Heart Institute, St. Petersburg, Florida; Division of Cardiology, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Ann Thorac Surg. 2021 Jul;112(1):e5-e8. doi: 10.1016/j.athoracsur.2020.12.027. Epub 2021 Jan 7.
Endovascular stenting of the ascending aorta has been described for various aortic pathologies, including type A dissection in patients who are prohibitive risk for open surgery. Endovascular treatment of ascending aortic pathology poses unique anatomic and technical challenges related to aortic morphology. Herein, we present a novel technique of endovascular ascending stent graft delivery from a transfemoral approach for treatment of an acute type A dissection, utilizing a snare-guided deployment technique to facilitate favorable device deployment.
腔内修复升主动脉已被描述用于各种主动脉病变,包括对开放手术禁忌的 A 型夹层患者。腔内治疗升主动脉病变与主动脉形态学有关,具有独特的解剖和技术挑战。在此,我们提出了一种从股动脉入路腔内升主动脉支架输送的新技术,用于治疗急性 A 型夹层,采用圈套器引导的释放技术,以利于装置的良好释放。