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Thoraflex Hybrid冷冻象鼻原位激光开窗术用于左锁骨下动脉的紧急血运重建及脊髓灌注的激光开窗术

In situ laser fenestration of the Thoraflex Hybrid frozen elephant trunk for emergent revascularization of the left subclavian artery and laser fenestration for spinal cord perfusion.

作者信息

Shehab Maysam, Wanhainen Anders, Tegler Gustaf, Mani Kevin, Kuzniar Marek

机构信息

Division of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Division of Surgery, Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Jan 13;10(2):101426. doi: 10.1016/j.jvscit.2024.101426. eCollection 2024 Apr.

DOI:10.1016/j.jvscit.2024.101426
PMID:38375347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10875571/
Abstract

In situ laser fenestration (ISLF) has emerged as a promising technique for emergent revascularization of the left subclavian artery in the case of thoracic endovascular aortic repair coverage, presenting excellent technical success rates in most studies. We describe a case of ISLF of the Thoraflex Hybrid frozen elephant trunk device to achieve immediate left subclavian artery revascularization. We demonstrate the feasibility and technical success of using ISLF in this setting, providing a less invasive alternative to conventional surgical revascularization when required.

摘要

原位激光开窗术（ISLF）已成为一种有前景的技术，用于在胸主动脉腔内修复覆盖情况下对左锁骨下动脉进行紧急血管重建，在大多数研究中呈现出极高的技术成功率。我们描述了一例使用Thoraflex Hybrid冻结象鼻装置进行原位激光开窗术以实现左锁骨下动脉立即血管重建的病例。我们证明了在这种情况下使用原位激光开窗术的可行性和技术成功性，在需要时提供了一种比传统外科血管重建侵入性更小的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/97536a393b95/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/8e3237bd9fed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/f85757da0ed0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/210906210788/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/2e54b30e7009/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/97536a393b95/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/8e3237bd9fed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/f85757da0ed0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/210906210788/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/2e54b30e7009/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/259e/10875571/97536a393b95/gr5.jpg

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本文引用的文献

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J Clin Med. 2023 Mar 25;12(7):2496. doi: 10.3390/jcm12072496.
2
Midterm Outcomes of Antegrade In Situ Laser Fenestration of Polyester Endografts for Urgent Treatment of Aortic Pathologies Involving the Visceral and Renal Arteries.聚酯带膜支架原位激光开窗术治疗累及内脏和肾动脉的主动脉病变的中期结果。
Eur J Vasc Endovasc Surg. 2023 May;65(5):720-727. doi: 10.1016/j.ejvs.2023.01.038. Epub 2023 Jan 30.
3
In Situ Laser Fenestrations of Aortic Endografts for Emergent Aortic Disease.
原位激光开窗主动脉内支架治疗急性主动脉疾病。
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4
Early Feasibility of Endovascular Repair of Distal Aortic Arch Aneurysms Using Patient-Specific Single Retrograde Left Subclavian Artery Branch Stent Graft.采用个体化单逆行左锁骨下动脉分支支架治疗远端主动脉弓动脉瘤的早期可行性。
Cardiovasc Intervent Radiol. 2023 Feb;46(2):249-254. doi: 10.1007/s00270-022-03304-x. Epub 2022 Nov 1.
5
In Situ Laser Fenestration Technique: Bench-Testing of Aortic Endograft to Guide Clinical Practice.原位激光开窗技术：用于指导临床实践的主动脉覆膜支架的 bench 测试。
J Endovasc Ther. 2024 Feb;31(1):126-131. doi: 10.1177/15266028221119315. Epub 2022 Aug 24.
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