Division of Vascular and Interventional Radiology, Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Department of Interventional Radiology, Shantou Central Hospital Affiliated Hospital of Sun Yat-Sen University, Shantou, China.
J Vasc Interv Radiol. 2022 Feb;33(2):136-140. doi: 10.1016/j.jvir.2021.10.006.
This study explored the feasibility of a totally percutaneous approach to perform in situ microneedle puncture fenestration during thoracic endovascular aortic repair (TEVAR) via access from the left subclavian artery (LSA). In total, 23 patients with either thoracic aortic dissection or thoracic aortic aneurysm were treated with in situ LSA fenestration during TEVAR. The procedure was technically successful in all the patients. No serious complications occurred during a mean 9-month follow-up period. In situ microneedle puncture fenestration during TEVAR via the LSA is a feasible and effective method for LSA reconstruction.
本研究探讨了经左锁骨下动脉（LSA）入路行原位微针穿刺开窗在胸主动脉腔内修复（TEVAR）中应用的可行性。共有 23 例胸主动脉夹层或胸主动脉瘤患者在 TEVAR 时行原位 LSA 开窗治疗。所有患者均成功完成手术，平均 9 个月随访期间无严重并发症发生。TEVAR 时经 LSA 行原位微针穿刺开窗是一种可行且有效的 LSA 重建方法。
