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Acta Biomed. 2022 Apr 14;93(S1):e2022080. doi: 10.23750/abm.v93iS1.12537.
True and false aneurysms (FA) of the subclavian artery are at high risk of rupture due to their localization and proximity/closeness to the articular bone structures of the upper thoracic outlet and shoulders. Surgical and endovascular treatments are good options to avoid complications such as aneurysms rupture, thrombosis and distal embolism alone or in combination. Self-expandable (SE) covered stents are the most used devices for the treatment of subclavian artery aneurysms. We report on a case of post traumatic left intra-thoracic subclavian artery FA treated using endovascular technique, highlighting the usefulness of the new covered Gore Viabahn VBX-BE stent-graft that combines the advantages of a high radial strength of a BE stent with the deliverability and conformability of a SE stent.
锁骨下动脉真性和假性动脉瘤(FA)由于其位于上肢出口和肩部的关节骨结构附近/接近,因此有很高的破裂风险。手术和血管内治疗是避免并发症(如动脉瘤破裂、血栓形成和远端栓塞等)的好方法,这些并发症可单独或联合出现。自膨式(SE)覆膜支架是治疗锁骨下动脉动脉瘤最常用的装置。我们报告了一例使用血管内技术治疗的外伤性左胸内锁骨下动脉 FA 病例,强调了新型戈尔 Viabahn VBX-BE 覆膜支架-移植物的有用性,该支架-移植物结合了 BE 支架的高径向强度和 SE 支架的可输送性和顺应性的优点。