• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

完全性血管腔内主动脉弓修复术中人工主动脉瓣置换术后的经心尖外置导丝技术

Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair.

作者信息

Jędrzejczak Tomasz, Rynio Paweł, Lewandowski Maciej, Kazimierczak Arkadiusz

机构信息

Cardiac Surgery Department, Pomeranian Medical University, Szczecin, Poland.

Vascular Surgery Department, Pomeranian Medical University, Szczecin, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2021 Mar;16(1):227-233. doi: 10.5114/wiitm.2020.93987. Epub 2020 Mar 27.

DOI:10.5114/wiitm.2020.93987
PMID:33786138
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7991936/
Abstract

An externalized transapical guidewire (ETAG) technique has been used for safe delivery of high-profile devices through a tortuous aorta to zone 0, which is currently precluded after mechanical artificial aortic valve replacement (AVR). The aim of the study was to report one center's experience (based on 3 cases) of a unique modification to the ETAG technique used for the first time during total endovascular aortic arch repair after AVR. This report contains technical notes regarding a new method of steering the guidewire from the apex inside the artificial aortic valve during total endovascular aortic arch repair after AVR and the details crucial in preparation for this mini-invasive procedure. As a conclusion, the ETAG technique could be performed after mechanical AVR with active positioning of the guidewire carried out under the control of transesophageal echocardiography.

摘要

一种经心尖外置导丝（ETAG）技术已被用于将大型器械安全地通过迂曲的主动脉输送至0区，而在机械人工主动脉瓣置换（AVR）后目前无法做到这一点。本研究的目的是报告一个中心（基于3例病例）在AVR后全腔内主动脉弓修复期间首次使用的对ETAG技术的独特改良经验。本报告包含有关在AVR后全腔内主动脉弓修复期间从人工主动脉瓣内的心尖处操纵导丝的新方法的技术说明，以及为此微创程序做准备时至关重要的细节。总之，ETAG技术可在机械AVR后进行，在经食管超声心动图控制下进行导丝的主动定位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/97554d7b576a/WIITM-16-40212-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/c8b3fe96363f/WIITM-16-40212-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/63090ed60c5a/WIITM-16-40212-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/b7ce91893ab2/WIITM-16-40212-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/97554d7b576a/WIITM-16-40212-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/c8b3fe96363f/WIITM-16-40212-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/63090ed60c5a/WIITM-16-40212-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/b7ce91893ab2/WIITM-16-40212-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2ac/7991936/97554d7b576a/WIITM-16-40212-g004.jpg

相似文献

1
Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair.完全性血管腔内主动脉弓修复术中人工主动脉瓣置换术后的经心尖外置导丝技术
Wideochir Inne Tech Maloinwazyjne. 2021 Mar;16(1):227-233. doi: 10.5114/wiitm.2020.93987. Epub 2020 Mar 27.
2
Externalized transapical guidewire technique for complex aortic disease: a single-centre experience.经心尖外置导丝技术治疗复杂主动脉疾病：单中心经验。
Eur J Cardiothorac Surg. 2019 Apr 1;55(4):639-645. doi: 10.1093/ejcts/ezy349.
3
Ascending Aorta Nose-Cone Loop Technique as Bail Out for Precise Branched Endovascular Aortic Arch Endograft Delivery Without Valve Re-Crossing.升主动脉鼻锥环技术作为一种补救方法，用于在不再次穿过瓣膜的情况下精确进行分支型血管腔内主动脉弓移植物植入。
J Endovasc Ther. 2023 Oct 12;32(4):15266028231201532. doi: 10.1177/15266028231201532.
4
Externalized Transapical Guidewire for Aortic Arch Aneurysm Repair.用于主动脉弓动脉瘤修复的经心尖外置导丝
Ann Thorac Surg. 2016 Jul;102(1):e51-3. doi: 10.1016/j.athoracsur.2015.11.039.
5
Modified implantation of a Bolton Relay branch arch device into the ascending aorta close to a mechanical aortic valve.将 Bolton Relay 分支弓装置修改后植入升主动脉，靠近机械主动脉瓣。
Interact Cardiovasc Thorac Surg. 2022 May 2;34(5):936-938. doi: 10.1093/icvts/ivac017.
6
Externalized Guidewires to Facilitate Fenestrated Endograft Deployment in the Aortic Arch.用于促进主动脉弓开窗型腔内移植物植入的外置导丝
J Endovasc Ther. 2016 Feb;23(1):160-71. doi: 10.1177/1526602815614557. Epub 2015 Oct 28.
7
Branching externalized guidewire to facilitate retrograde endograft deployment in the hybrid aortic repair with aortic valve replacement.分支外置导丝，以促进在主动脉瓣置换杂交主动脉修复术中逆行植入血管内移植物。
Int J Cardiol Heart Vasc. 2023 Nov 27;49:101310. doi: 10.1016/j.ijcha.2023.101310. eCollection 2023 Dec.
8
A System for Accurate Deployment of Unconstrained Triple-Fenestrated Aortic Arch Endografts.一种用于精准部署非约束性三叶开窗主动脉弓覆膜支架的系统。
J Endovasc Ther. 2022 Dec;29(6):893-903. doi: 10.1177/15266028211067737. Epub 2022 Jan 12.
9
The Ascending Aorta as an Exit Site for a Through-and-Through Wire in TEVAR.升主动脉作为经胸腔内血管修复术中贯穿导丝的穿出部位。
J Endovasc Ther. 2015 Dec;22(6):934-7. doi: 10.1177/1526602815607441. Epub 2015 Sep 22.
10
An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch.一种外部化跨隔导丝技术，以促进导丝稳定和支架移植物通过主动脉弓。
J Endovasc Ther. 2010 Dec;17(6):744-9. doi: 10.1583/10-3189.1.

引用本文的文献

1
3D printing in the endovascular treatment of visceral artery aneurysms.3D 打印在内脏动脉动脉瘤的血管内治疗中的应用。
Medicine (Baltimore). 2023 Nov 10;102(45):e35844. doi: 10.1097/MD.0000000000035844.
2
Physician-modified endograft in ruptured aortic arch.用于主动脉弓破裂的医生改良型腔内移植物
Postepy Kardiol Interwencyjnej. 2022 Mar;18(1):70-73. doi: 10.5114/aic.2022.115562. Epub 2022 Apr 20.
3
Multidisciplinary aortic arch procedures within the "Aortic Team".“主动脉团队”内的多学科主动脉弓手术

本文引用的文献

1
Utility of dual longitudinal diameter-reducing ties in aortic arch thoracic endovascular aortic repair.双纵向减径束带在主动脉弓胸段血管腔内主动脉修复中的应用
Postepy Kardiol Interwencyjnej. 2019;15(4):485-488. doi: 10.5114/aic.2019.90224. Epub 2019 Dec 8.
2
Externalized transapical guidewire technique for complex aortic disease: a single-centre experience.经心尖外置导丝技术治疗复杂主动脉疾病：单中心经验。
Eur J Cardiothorac Surg. 2019 Apr 1;55(4):639-645. doi: 10.1093/ejcts/ezy349.
3
A 3D Printed Aortic Arch Template to Facilitate Decision-Making Regarding the Use of an Externalized Transapical Wire during Thoracic Endovascular Aneurysm Repair.
Kardiochir Torakochirurgia Pol. 2022 Mar;19(1):11-15. doi: 10.5114/kitp.2022.114549. Epub 2022 Mar 24.
4
3D printing in the preoperative planning and endovascular treatment of splenic artery aneurysm. Own clinical experience and literature review.3D打印在脾动脉瘤术前规划及血管内治疗中的应用。自身临床经验及文献综述。
Wideochir Inne Tech Maloinwazyjne. 2022 Mar;17(1):110-115. doi: 10.5114/wiitm.2021.107765. Epub 2021 Jul 13.
5
Modified implantation of a Bolton Relay branch arch device into the ascending aorta close to a mechanical aortic valve.将 Bolton Relay 分支弓装置修改后植入升主动脉，靠近机械主动脉瓣。
Interact Cardiovasc Thorac Surg. 2022 May 2;34(5):936-938. doi: 10.1093/icvts/ivac017.
一种3D打印主动脉弓模板，以辅助在胸主动脉腔内修复术中使用体外经心尖导丝的决策制定。
Ann Vasc Surg. 2019 Jan;54:336.e5-336.e8. doi: 10.1016/j.avsg.2018.06.021. Epub 2018 Aug 13.
4
A 3-Dimensional Printed Aortic Arch Template to Facilitate the Creation of Physician-Modified Stent-Grafts.3D 打印主动脉弓模板辅助医生定制支架移植物的制作。
J Endovasc Ther. 2018 Oct;25(5):554-558. doi: 10.1177/1526602818792266. Epub 2018 Jul 30.
5
Experimental evaluation of homemade distal stent graft fenestration for thoracic endovascular aortic repair of type A dissection by a transapical approach.经心尖入路腔内修复治疗 A 型主动脉夹层的国产分体式支架开窗的实验评估。
J Vasc Surg. 2018 Oct;68(4):1217-1224. doi: 10.1016/j.jvs.2017.08.095. Epub 2018 Apr 19.
6
An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis.1例巨细胞动脉炎患者在裸支架置入治疗主动脉夹层后发生主动脉破裂的罕见病例。
Wideochir Inne Tech Maloinwazyjne. 2017 Jun;12(2):194-198. doi: 10.5114/wiitm.2017.67677. Epub 2017 May 12.
7
Total Endovascular Treatment of Aortic Arch Disease Using an Arch Endograft With 3 Inner Branches.使用具有3个内分支的主动脉弓移植物对主动脉弓疾病进行全腔内治疗。
J Endovasc Ther. 2017 Aug;24(4):534-538. doi: 10.1177/1526602817714569. Epub 2017 Jun 12.
8
Transapical Endovascular Repair of Thoracic Aortic Pathology.经心尖胸主动脉病变的血管腔内修复术。
Ann Vasc Surg. 2017 Aug;43:56-64. doi: 10.1016/j.avsg.2016.10.054. Epub 2017 Mar 10.
9
Externalized Transapical Guidewire for Aortic Arch Aneurysm Repair.用于主动脉弓动脉瘤修复的经心尖外置导丝
Ann Thorac Surg. 2016 Jul;102(1):e51-3. doi: 10.1016/j.athoracsur.2015.11.039.
10
Advancing a Guiding Catheter Across a Mechanical Aortic Valve.将引导导管穿过机械主动脉瓣。
Tex Heart Inst J. 2016 Apr 1;43(2):142-3. doi: 10.14503/THIJ-16-5812. eCollection 2016 Apr.