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近端主动脉束带术联合保留腔内移植物的部分开放转换术是治疗持续性Ⅱ型内漏的一种安全选择。

Partial open conversion with proximal aortic banding and endograft preservation is a safe option for the treatment of persistent type II endoleaks.

作者信息

Staniszewski Thomas, Beyer Reagan, Matsumura Jon, Morgan Courtney

机构信息

Division of Vascular Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisc.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Sep 20;7(4):649-653. doi: 10.1016/j.jvscit.2021.08.003. eCollection 2021 Dec.

DOI:10.1016/j.jvscit.2021.08.003
PMID:34693096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8515166/
Abstract

We have described our technique of open partial conversion (OPC; n = 5) with aortic banding and endograft preservation for the treatment of type II endoleaks. OPC significantly reduced the aortic clamping time (5.0 vs 32.5 minutes;  = .01) relative to endograft explantation (n = 2). Cross-clamping was avoided entirely in three of the procedures. The patients treated with OPC showed a trend toward a decreased operative time (4.8 vs 5.9 hours) and shorter hospital stay (5.7 vs 7.4 days). Follow-up computed tomography scans were available for three of the five OPC patients, which showed resolution of the type II endoleak. The findings from the present study have further demonstrated the safety of OPC for the treatment of type II endoleaks.

摘要

我们已经描述了我们采用开放部分转换（OPC；n = 5）并结合主动脉缩窄和保留血管内移植物来治疗II型内漏的技术。与血管内移植物取出术（n = 2）相比，OPC显著缩短了主动脉阻断时间（5.0分钟对32.5分钟；P = .01）。在三个手术过程中完全避免了交叉阻断。接受OPC治疗的患者手术时间有缩短趋势（4.8小时对5.9小时），住院时间也更短（5.7天对7.4天）。五名接受OPC治疗的患者中有三名可获得随访计算机断层扫描，结果显示II型内漏消失。本研究结果进一步证明了OPC治疗II型内漏的安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/ff1547bc1691/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/a4b057075eb1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/ee0c36a5b995/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/d04cecddcadb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/ff1547bc1691/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/a4b057075eb1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/ee0c36a5b995/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/d04cecddcadb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d521/8515166/ff1547bc1691/gr4.jpg

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J Vasc Surg. 2019 Jun;69(6):1766-1775. doi: 10.1016/j.jvs.2018.09.049. Epub 2018 Dec 21.
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Successful Aortic Banding for Type IA Endoleak Due to Neck Dilatation after Endovascular Abdominal Aortic Aneurysm Repair: Case Report.
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