腹腔干动脉开窗分支腔内修复术中采用“双吻”方向分支技术对腹腔干动脉干的重建
Incorporation of Celiomesenteric Trunk With Double Kissing Directional Branches During Fenestrated-Branched Endovascular Aortic Repair.
机构信息
Advanced Aortic Research Program, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USA.
Division of Vascular and Endovascular Surgery Mayo Clinic, Rochester, MN, USA.
出版信息
J Endovasc Ther. 2021 Aug;28(4):636-641. doi: 10.1177/15266028211016430. Epub 2021 May 17.
PURPOSE
Common celiomesenteric trunk (CMT) is a rare anatomical variation that occurs in 0.5% to 3.4% of the general population. Its presence may complicate planning and implantation of fenestrated and branched stent-grafts because the wide diameter and short length of the CMT to its bifurcation does not allow sufficient sealing for placement of bridging stents.
CASE REPORT
We report a patient with thoracoabdominal aortic aneurysm (TAAA) and CMT treated by fenestrated-branched endovascular aortic repair (FB-EVAR) using double kissing directional branches to incorporate the celiac axis and superior mesenteric artery. Pitfalls of stent design and implantation are outlined.
CONCLUSION
Double kissing directional branches should be considered as an alternative to incorporate vessels with early bifurcation such as a CMT.
目的
常见的肠系膜腹腔干共干（CMT）是一种罕见的解剖变异，发生在普通人群中的 0.5%至 3.4%。它的存在可能会使开窗和分支支架移植的规划和植入复杂化，因为 CMT 到其分叉处的宽直径和短长度不允许有足够的密封来放置桥接支架。
病例报告
我们报告了一例 TAAA 和 CMT 的患者，采用开窗分支血管腔内修复术（FB-EVAR）进行治疗，使用双吻定向分支来包含腹腔干和肠系膜上动脉。支架设计和植入的陷阱被概述。
结论
双吻定向分支应被视为纳入早期分叉血管（如 CMT）的一种替代方法。
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