O'Brien Devin J, White Abigail, Bozso Sabin J, Ferguson Darren, Moon Michael C, Pozeg Zlatko
Division of Cardiac Surgery, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada.
New Brunswick Heart Centre, Dalhousie University, Saint John, New Brunswick, Canada.
Ann Thorac Surg. 2022 Dec;114(6):e441-e442. doi: 10.1016/j.athoracsur.2022.02.034. Epub 2022 Mar 5.
The Ascyrus Medical Dissection Stent (AMDS) has proved to promote false lumen closure at the distal anastomosis in type A dissection repairs. During the past 20 years, open techniques have developed into endovascular repairs. We report a case of thoracic endovascular aortic repair (TEVAR) landed inside an AMDS. A 63-year-old man with hypertension presented with type A aortic dissection. After initial repair with AMDS, he returned for TEVAR to fix residual type B dissection. A proper seal was created between the AMDS and TEVAR stents, demonstrating a successful off-label use of the AMDS stent.
阿斯库鲁斯医用解剖支架（AMDS）已被证明可促进A型夹层修复术中远端吻合口处假腔闭合。在过去20年中，开放手术技术已发展为血管腔内修复术。我们报告一例胸主动脉腔内修复术（TEVAR）支架植入于AMDS内的病例。一名63岁高血压男性患者出现A型主动脉夹层。在最初使用AMDS进行修复后，他因残留B型夹层返回接受TEVAR治疗。在AMDS和TEVAR支架之间形成了良好的密封，证明了AMDS支架成功的非标签使用。
