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0区锚定的胸主动脉腔内修复术后支架移植物塌陷

Stent Graft Collapse after Zone 0 Landing Thoracic Endovascular Aortic Repair.

作者信息

Arima Daisuke, Suzuki Kazuchika, Kando Yumi, Ishigami Naoyuki

机构信息

Department of Cardiovascular Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka, Japan.

出版信息

Ann Vasc Dis. 2023 Sep 25;16(3):234-237. doi: 10.3400/avd.cr.23-00030.

DOI:10.3400/avd.cr.23-00030
PMID:37779658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10539125/
Abstract

A zone 0 landing thoracic endovascular aortic repair was performed on a 69-year-old man with a saccular aortic arch aneurysm. Seven days after the surgery, the patient experienced diminished consciousness and lower limb paralysis. Stent graft collapse was seen on a computed tomography scan. Thereafter, the patient underwent total arch replacement and emergency stent graft removal.

摘要

对一名患有囊状主动脉弓动脉瘤的69岁男性进行了0区着陆胸主动脉腔内修复术。术后7天，患者出现意识减退和下肢瘫痪。计算机断层扫描显示支架移植物塌陷。此后，患者接受了全弓置换和紧急支架移植物取出术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ab/10539125/c9cdbb21d78e/avd-16-3-cr.23-00030-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ab/10539125/3f49351f2494/avd-16-3-cr.23-00030-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ab/10539125/535d52da91de/avd-16-3-cr.23-00030-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ab/10539125/c9cdbb21d78e/avd-16-3-cr.23-00030-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ab/10539125/3f49351f2494/avd-16-3-cr.23-00030-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ab/10539125/535d52da91de/avd-16-3-cr.23-00030-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67ab/10539125/c9cdbb21d78e/avd-16-3-cr.23-00030-figure03.jpg

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本文引用的文献

1
Association between aortic arch angulation and bird-beak configuration after thoracic aortic stent graft repair of type B aortic dissection.胸主动脉支架象鼻手术后主动脉弓成角与鸟嘴样外观的相关性研究
Interact Cardiovasc Thorac Surg. 2020 Nov 1;31(5):688-696. doi: 10.1093/icvts/ivaa171.
2
Determining the Optimal Proximal Landing Zone for TEVAR in the Aortic Arch: Comparing the Occurrence of the Bird-Beak Phenomenon in Zone 0 vs Zones 1 and 2.确定主动脉弓 TEVAR 的最佳近端着陆区：比较 0 区与 1 区和 2 区鸟嘴现象的发生情况。
J Endovasc Ther. 2020 Jun;27(3):368-376. doi: 10.1177/1526602820914269. Epub 2020 Apr 3.
3
Delayed Aortic Stent Collapse in Blunt Traumatic Aortic Injury Repair.
钝性创伤性主动脉损伤修复中延迟性主动脉支架塌陷
Aorta (Stamford). 2019 Oct;7(5):129-136. doi: 10.1055/s-0039-3401022. Epub 2020 Feb 4.
4
Computer modeling for the prediction of thoracic aortic stent graft collapse.计算机建模预测胸主动脉支架移植物塌陷。
J Vasc Surg. 2013 May;57(5):1353-61. doi: 10.1016/j.jvs.2012.09.063. Epub 2013 Jan 11.
5
Incidence and outcomes after infolding or collapse of thoracic stent grafts.胸主动脉支架移植物折叠或塌陷后的发生率和结果。
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A multicenter experience of the management of collapsed thoracic endografts.胸腔内移植物塌陷的多中心处理经验。
J Vasc Surg. 2011 May;53(5):1217-22. doi: 10.1016/j.jvs.2010.10.119. Epub 2011 Jan 17.
7
Incomplete endograft apposition to the aortic arch: bird-beak configuration increases risk of endoleak formation after thoracic endovascular aortic repair.主动脉弓处覆膜支架贴合不完全：鸟嘴样形态增加胸主动脉腔内修复术后内漏形成的风险。
Radiology. 2010 May;255(2):645-52. doi: 10.1148/radiol.10091468.
8
Factors favoring stent-graft collapse after thoracic endovascular aortic repair.胸主动脉腔内修复术后支架移植物塌陷的相关因素。
J Thorac Cardiovasc Surg. 2010 May;139(5):1153-7. doi: 10.1016/j.jtcvs.2009.06.017. Epub 2009 Jul 29.