Tinelli Giovanni, Minelli Fabrizio, Donato Federica, Sica Simona, De Nigris Francesca, Tshomba Yamume
Unit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
J Vasc Surg Cases Innov Tech. 2022 May 14;8(3):335-337. doi: 10.1016/j.jvscit.2022.04.010. eCollection 2022 Sep.
The E-nside multibranched stent graft (Jotec GmbH, Hechingen, Germany) is the first and only off-the-shelf thoracoabdominal prosthesis with precannulated inner branches. Usually, after the device deployment, target vessel stenting will be facilitated by antegrade inner branch cannulation to retrieve the precannulated guide. In the literature, the use of antegrade access has been associated with the potential risk of cerebral and systemic embolization. Therefore, other retrograde techniques have been described. We have reported a new retrograde approach using a precannulated through-and-through femorofemoral wire technique for target vessel catheterization.
E-nside多分支支架移植物（德国黑兴根Jotec有限公司）是首款也是唯一一款带有预插管内分支的现成胸腹主动脉修复器械。通常，在植入该器械后，通过顺行内分支插管以取出预插管导丝可便于对目标血管进行支架植入。在文献中，顺行入路的使用与脑栓塞和全身栓塞的潜在风险相关。因此，已有人描述了其他逆行技术。我们报告了一种新的逆行方法，即使用预插管贯穿股股导丝技术进行目标血管插管。
