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使用聚氯乙烯管移除冰冻象鼻。

Removal of a frozen elephant trunk using a polyvinyl tube.

机构信息

Department of Cardiovascular Surgery, Kyorin University, 6-20-2 Shinkawa, Mitaka City, Tokyo, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2022 May;70(5):506-508. doi: 10.1007/s11748-022-01790-x. Epub 2022 Mar 4.

DOI:10.1007/s11748-022-01790-x
PMID:35246777
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9016002/
Abstract

The increasing use of total arch replacement and frozen elephant trunk (FET) is expected to lead to an increase in the prevalence of graft infections requiring replacement involving an FET, which is generally a more invasive procedure than the initial surgery. Herein, we describe a novel method for FET removal using a polyvinyl tube as the storage device. The procedure is completed using the same median sternotomy approach as the initial surgery. We report on the outcomes for six patients. Our procedure is simple to perform and safe and caused no injury to the aorta in our case series.

摘要

全主动脉弓置换术和冷冻象鼻技术（FET）的应用日益增多，预计会导致需要更换包含 FET 的移植物的感染发生率增加，而这种更换一般比初始手术更具侵袭性。在此，我们介绍一种使用聚氯乙烯管作为储存装置来移除 FET 的新方法。该手术采用与初始手术相同的正中胸骨切开术入路。我们报告了 6 例患者的结果。我们的手术操作简单、安全，在我们的病例系列中未对主动脉造成损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5e3/9016002/ef5a07ac28ee/11748_2022_1790_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5e3/9016002/3f5300ee30b3/11748_2022_1790_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5e3/9016002/ef5a07ac28ee/11748_2022_1790_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5e3/9016002/3f5300ee30b3/11748_2022_1790_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5e3/9016002/ef5a07ac28ee/11748_2022_1790_Fig2_HTML.jpg

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本文引用的文献

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Editor's Choice - European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections.编辑推荐——欧洲血管外科学会（ESVS）2020年血管移植物和腔内移植物感染管理临床实践指南
Eur J Vasc Endovasc Surg. 2020 Mar;59(3):339-384. doi: 10.1016/j.ejvs.2019.10.016. Epub 2020 Feb 5.
2
Deep Sternal Wound Infection: Diagnosis, Treatment and Prevention.胸骨深部伤口感染：诊断、治疗与预防。
J Cardiothorac Vasc Anesth. 2020 Jun;34(6):1602-1613. doi: 10.1053/j.jvca.2019.09.019. Epub 2019 Sep 18.
3
A new technique to explant an infected aortic endograft.
一种取出感染性主动脉内移植物的新技术。
J Vasc Surg. 2015 Aug;62(2):512-4. doi: 10.1016/j.jvs.2015.03.033. Epub 2015 May 1.
4
Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the Vascular Domain of EACTS.冷冻象鼻技术的当前应用现状与建议：欧洲心胸外科学会血管外科学组立场文件
Eur J Cardiothorac Surg. 2015 May;47(5):759-69. doi: 10.1093/ejcts/ezv085. Epub 2015 Mar 13.
5
Surgical and antimicrobial treatment of prosthetic vascular graft infections at different surgical sites: a retrospective study of treatment outcomes.不同手术部位人工血管移植物感染的手术及抗菌治疗：治疗结果的回顾性研究
PLoS One. 2014 Nov 13;9(11):e112947. doi: 10.1371/journal.pone.0112947. eCollection 2014.
6
New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft.用于胸主动脉瘤或夹层的带支架移植物的新型移植物植入方法。
Circulation. 1996 Nov 1;94(9 Suppl):II188-93.