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一种带大口径主动脉打孔器的无钳夹主动脉人工血管端侧吻合装置。

A Clampless Aortoprosthetic End to Side Anastomotic Device with Large Diameter Aortic Puncher.

作者信息

Sasajima Tadahiro, Saito Yukihiro, Ise Hayato, Uchida Daiki, Kamiya Hiroyuki

机构信息

Department of Vascular Surgery, Edogawa Hospital, Tokyo Japan.

Department of Vascular Surgery, Asahikawa Medical University, Asahikawa Japan.

出版信息

EJVES Vasc Forum. 2020 Feb 27;47:6-8. doi: 10.1016/j.ejvsvf.2020.02.003. eCollection 2020.

DOI:10.1016/j.ejvsvf.2020.02.003
PMID:33937890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8077719/
Abstract

INTRODUCTION

To facilitate safe anastomosis of a vascular prosthesis onto the proximal ascending aorta without side clamping, a clampless anastomotic device with large diameter aortic puncher was developed.

REPORT

First, a vascular prosthesis is anastomosed onto the aorta without making a hole, then the aortic wall within the prosthesis is punched out using the device.

DISCUSSION

After further refinement of the present device, endovascular surgery with debranching could be performed more safely and quickly.

摘要

引言

为便于在不进行侧方钳夹的情况下将血管移植物安全吻合至升主动脉近端，研发了一种带有大口径主动脉打孔器的无钳吻合装置。

报告

首先，在不打孔的情况下将血管移植物吻合至主动脉，然后使用该装置将移植物内的主动脉壁打孔切除。

讨论

对当前装置进一步改进后，可更安全、快速地进行去分支血管腔内手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00db/8077719/2297afbfca4d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00db/8077719/d01d89daaa0e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00db/8077719/063e1b275989/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00db/8077719/2297afbfca4d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00db/8077719/d01d89daaa0e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00db/8077719/063e1b275989/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00db/8077719/2297afbfca4d/gr3.jpg

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引用本文的文献

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本文引用的文献

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Aortic Puncture Through Sewn-on Graft for TEVAR and Aortic Bypass.
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2
Landing in zone 0: Is ascending thoracic endovascular aortic repair ready for takeoff?降落在0区：胸段主动脉腔内修复术准备好起飞了吗？
J Thorac Cardiovasc Surg. 2018 Apr;155(4):1390. doi: 10.1016/j.jtcvs.2017.12.014. Epub 2017 Dec 9.
3
Anaortic off-pump versus clampless off-pump using the PAS-Port device versus conventional coronary artery bypass grafting: mid-term results from a matched propensity score analysis of 5422 unselected patients.非体外循环主动脉根部无接触与 PAS-Port 装置无接触非体外循环冠状动脉旁路移植术与传统冠状动脉旁路移植术的比较：5422 例未经选择患者倾向性评分匹配分析的中期结果。
Eur J Cardiothorac Surg. 2017 Oct 1;52(4):760-767. doi: 10.1093/ejcts/ezx235.
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Supra-aortic interventions for endovascular exclusion of the entire aortic arch.用于经血管腔内排除整个主动脉弓的主动脉弓上干预措施。
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