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采用血管内VIABAHN VBX球囊扩张式覆膜支架置入术治疗珊瑚礁主动脉。

Treatment of Coral Reef Aorta by Endovascular VIABAHN VBX Balloon-Expandable Stent-Graft Placement.

作者信息

Myouchin Kaoru, Takayama Katsutoshi, Wada Takeshi, Taguchi Hidehiko, Tanaka Toshihiro, Kichikawa Kimihiko

机构信息

Department of Radiology and Interventional Radiology Center, Nara Medical University, Kashihara, Nara, Japan.

Department of Interventional Neuroradiology/Radiology Kouseikai Takai Hospital, Kashihara, Nara, Japan.

出版信息

Ann Vasc Dis. 2021 Sep 25;14(3):244-248. doi: 10.3400/avd.cr.20-00168.

DOI:10.3400/avd.cr.20-00168
PMID:34630766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8474083/
Abstract

Coral reef aorta (CRA) has been described as a rare disease characterized by the presence of dense calcifications of the aorta. In this study, we report on two patients with CRA caused by intermittent claudication (IC) who underwent endovascular VIABAHN VBX balloon-expandable stent-graft (VVBX) placement. Both patients underwent successful endovascular VVBX placement via transfemoral artery approach, and hemostasis was achieved via vascular closure device. Their symptoms were observed to disappear completely after treatment, and they were discharged without serious adverse events. No symptoms were noted at 1.5-year and 1-year follow-up.

摘要

珊瑚礁样主动脉(CRA)被描述为一种罕见疾病,其特征是主动脉存在致密钙化。在本研究中,我们报告了两名因间歇性跛行(IC)导致CRA的患者,他们接受了血管腔内VIABAHN VBX球囊扩张式覆膜支架移植物(VVBX)植入术。两名患者均通过经股动脉途径成功进行了血管腔内VVBX植入,并且通过血管闭合装置实现了止血。观察到他们的症状在治疗后完全消失,并且他们在没有严重不良事件的情况下出院。在1.5年和1年的随访中未发现症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a31/8474083/3fdeb9ab3526/avd-14-3-cr.20-00168-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a31/8474083/a594834aadb6/avd-14-3-cr.20-00168-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a31/8474083/3fdeb9ab3526/avd-14-3-cr.20-00168-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a31/8474083/a594834aadb6/avd-14-3-cr.20-00168-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a31/8474083/3fdeb9ab3526/avd-14-3-cr.20-00168-figure02.jpg

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本文引用的文献

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Phasic pressure measurements for coronary and valvular interventions using fluid-filled catheters: Errors, automated correction, and clinical implications.使用充液导管进行冠状动脉和瓣膜介入的相位压力测量:误差、自动校正和临床意义。
Catheter Cardiovasc Interv. 2020 Sep 1;96(3):E268-E277. doi: 10.1002/ccd.28780. Epub 2020 Feb 20.
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Pivotal Study of a Next-Generation Balloon-Expandable Stent-Graft for Treatment of Iliac Occlusive Disease.新一代球囊扩张式支架治疗髂动脉闭塞性疾病的关键研究。
J Endovasc Ther. 2017 Oct;24(5):629-637. doi: 10.1177/1526602817720463. Epub 2017 Jul 12.
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The coral reef aorta - a single centre experience in 70 patients.
珊瑚礁样主动脉的挑战性血管内治疗及文献综述
Int J Angiol. 2023 Mar 1;32(4):303-307. doi: 10.1055/s-0043-1763253. eCollection 2023 Dec.
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Int J Angiol. 2007 Fall;16(3):98-105. doi: 10.1055/s-0031-1278258.
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Successful endovascular management of an aortic rupture following stent placement for severe atherosclerotic stenosis: A case report.严重动脉粥样硬化狭窄支架置入术后主动脉破裂的成功血管内治疗:一例报告
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Treatment of symptomatic coral reef aorta by endovascular stent-graft placement.通过血管内支架移植物置入术治疗有症状的珊瑚礁主动脉。 (注:“珊瑚礁主动脉”表述不太符合常见医学术语,可能原文有误,正常医学语境中无此说法,但按照要求准确翻译)
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