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在分支型胸主动脉腔内修复术中用于分离锁定的Viabahn血管内支架的挽救技术。

Bail-out technique to detach a locked Viabahn endoprosthesis in branched thoracic endovascular aortic repair.

作者信息

Eilenberg Wolf, Panuccio Giuseppe, Rohlffs Fiona, Eleshra Ahmed S, Heidemann Franziska, Kölbel Tilo

机构信息

German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Jul 1;7(4):593-596. doi: 10.1016/j.jvscit.2021.06.006. eCollection 2021 Dec.

DOI:10.1016/j.jvscit.2021.06.006
PMID:34693084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8515410/
Abstract

A 69-year-old female patient presented with a 5.8 cm thoracoabdominal aortic aneurysm Crawford type II after partial arch replacement. She was treated by a branched thoracic endovascular aortic repair procedure using a branched arch endograft with one retrograde branch to the left subclavian artery. After deployment of a Viabahn as a bridging covered stent to the left subclavian artery, the deployment line did not detach and the delivery catheter could not be removed. With the use of a physician-modified sidehole catheter and balloon fixation, the pulling line could be released without displacement of the Viabahn endoprosthesis.

摘要

一名69岁女性患者在部分主动脉弓置换术后出现一个5.8厘米的胸腹主动脉瘤，Crawford II型。她接受了使用带一个逆行分支至左锁骨下动脉的分支型主动脉弓内支架的分支型胸主动脉腔内修复术。在将一个Viabahn作为桥接覆膜支架置入左锁骨下动脉后，置入线未分离，输送导管无法移除。通过使用医生改良的侧孔导管和球囊固定，牵引线得以释放，且Viabahn内假体未移位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/3ebd8ab15bee/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/2f589743ec33/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/16a62a30d8df/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/d8b557f670b1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/3ebd8ab15bee/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/2f589743ec33/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/16a62a30d8df/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/d8b557f670b1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4867/8515410/3ebd8ab15bee/gr4.jpg

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本文引用的文献

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J Vasc Surg. 2021 Nov;74(5):1483-1490.e2. doi: 10.1016/j.jvs.2021.04.025. Epub 2021 Apr 30.
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Fenestrated endovascular repair for diseases involving the aortic arch.用于治疗累及主动脉弓疾病的开窗式血管腔内修复术。
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Cervical Debranching in the Endovascular Era: A Single Centre Experience.
血管内治疗时代的颈动脉去分支术：单中心经验。
Eur J Vasc Endovasc Surg. 2019 Jul;58(1):34-40. doi: 10.1016/j.ejvs.2018.12.010. Epub 2019 Jun 14.
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Total endovascular arch repair is the procedure of the future.全弓血管腔内修复术是未来的手术方式。
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Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels.开窗型胸主动脉腔内修复术使用导丝固定器在主动脉弓靶血管中固定
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Incomplete Expansion of Chimney Stent Graft during Chimney-Thoracic Endovascular Aneurysm Repair.烟囱式胸主动脉腔内修复术中烟囱支架移植物的不完全扩张
Ann Vasc Surg. 2017 Feb;39:293.e1-293.e5. doi: 10.1016/j.avsg.2016.08.035. Epub 2016 Nov 28.
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Meta-analysis of Left Subclavian Artery Coverage With and Without Revascularization in Thoracic Endovascular Aortic Repair.胸主动脉腔内修复术中左锁骨下动脉覆盖伴或不伴血运重建的Meta分析
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