Mehta Kunal, Ponukumati Aravind S, Jacobs Benjamin N, Kuwayama David P
Department of Surgery, Maine Medical Center, Portland, ME.
Section of Vascular Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
J Vasc Surg Cases Innov Tech. 2024 Jan 30;10(3):101442. doi: 10.1016/j.jvscit.2024.101442. eCollection 2024 Jun.
A type II endoleak after endovascular aneurysm repair can be challenging to stop. Numerous methods have been described, including trans-arterial, trans-lumbar, trans-caval, trans-endograft, peri-endograft, and open and laparoscopic surgical techniques. We present our experience with a laser-assisted trans-endograft approach, including technical variations of previous descriptions that might improve efficacy. In select cases, the laser-assisted trans-endograft approach might provide the most direct method of accessing and occluding the vessels feeding type II endoleaks.
血管内动脉瘤修复术后的II型内漏可能难以封堵。已有多种方法被描述，包括经动脉、经腰、经腔静脉、经移植物、移植物周围以及开放和腹腔镜手术技术。我们介绍了我们使用激光辅助经移植物方法的经验，包括对先前描述的技术改进，这些改进可能会提高疗效。在某些情况下，激光辅助经移植物方法可能提供最直接的途径来进入和闭塞供应II型内漏的血管。
