Koike Yuya, Date Kazuma, Kiss Borbala
Department of Interventional Radiology, Yokohama Nanbu Hospital, Japan.
Department of Interventional Radiology, Yokohama Rosai Hospital, Japan.
Interv Radiol (Higashimatsuyama). 2020 Jun 10;5(2):89-93. doi: 10.22575/interventionalradiology.2019-0011. eCollection 2020 Jun 30.
The purpose of this report was to describe the reorientation of the chimney graft technique to downsize brachial artery access during thoracic endovascular aortic repair and thus preserve left subclavian artery flow. In the case described herein, the chimney graft was advanced not from the brachial or axillary artery, but from the common femoral artery, over a brachiofemoral pull-through wire. The chimney graft was then turned out into the ascending aorta by balloon dilatation via percutaneous brachial access ("reorientation"). Despite the use of a large-diameter chimney graft, the chimney technique with percutaneous brachial access was successfully performed using the reorientation technique.
本报告的目的是描述烟囱式移植物技术的重新定位，以在胸主动脉腔内修复术中缩小肱动脉入路的尺寸，从而保留左锁骨下动脉的血流。在本文所述的病例中，烟囱式移植物并非从肱动脉或腋动脉推进，而是经股动脉，在肱股牵拉丝引导下推进。然后通过经皮肱动脉入路的球囊扩张将烟囱式移植物转向升主动脉（“重新定位”）。尽管使用了大直径的烟囱式移植物，但采用重新定位技术经皮肱动脉入路的烟囱技术仍成功实施。
