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从左颈总动脉到左锁骨下动脉的外科旁路:锁骨上入路。

Surgical bypass from the left common carotid artery to the left subclavian artery: Supraclavicular approach.

机构信息

Department of Cardiothoracic surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.

出版信息

Multimed Man Cardiothorac Surg. 2021 Apr 21;2021. doi: 10.1510/mmcts.2021.025.

DOI:10.1510/mmcts.2021.025
PMID:33901346
Abstract

To create an optimal landing zone (zone 2) in the aortic arch for concomitant or subsequent thoracic endovascular aortic repair of aortic diseases (aneurysm, dissection), surgeons frequently need to debranch the supra-aortic vessels. In this video tutorial, we present an alternative to our 2 other video tutorials for surgical debranching of the left subclavian artery (link; link). Depending on patient-specific characteristics, surgical preference and local experience, the surgeon chooses the approach. Here we show how to safely perform a supraclavicular left common carotid artery-to-left subclavian artery bypass.

摘要

为了在主动脉弓中创建一个最佳的着陆区(区域 2),以便同时或随后进行胸主动脉腔内修复治疗主动脉疾病(动脉瘤、夹层),外科医生通常需要对主动脉弓上的血管进行分支切除。在本视频教程中,我们提供了一种与我们之前的 2 个关于左锁骨下动脉分支切除手术的视频教程不同的方法(链接;链接)。根据患者的具体特点、手术偏好和当地经验,外科医生会选择合适的方法。在这里,我们展示如何安全地进行锁骨下左颈总动脉到左锁骨下动脉旁路手术。

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