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本文引用的文献

1
Expert opinion: How to treat type IA endoleakage.
Asian Cardiovasc Thorac Ann. 2023 Sep;31(7):604-614. doi: 10.1177/02184923231154742. Epub 2023 Feb 5.
2
[Ascending Aorta and Aortic Arch - Endovascular Therapy Today and in the Future].
Zentralbl Chir. 2021 Oct;146(5):479-485. doi: 10.1055/a-1644-1759. Epub 2021 Oct 19.
3
The frozen elephant trunk technique for aortic dissection is safe after previous aortic repair.在先前进行主动脉修复术后，主动脉夹层的冰冻象鼻技术是安全的。
Eur J Cardiothorac Surg. 2021 Jan 4;59(1):130-136. doi: 10.1093/ejcts/ezaa288.
4
The frozen elephant trunk treatment is the operation of choice for all kinds of arch disease.冷冻象鼻技术是治疗各类主动脉弓疾病的首选术式。
J Cardiovasc Surg (Torino). 2018 Aug;59(4):540-546. doi: 10.23736/S0021-9509.18.10597-0. Epub 2018 May 25.
5
Aortic Arch Hybrid Repair: Stent-Bridging of the Supra-Aortic Vessel Anastomoses (SAVSTEB).主动脉弓杂交修复术：主动脉弓上血管吻合口的支架桥接术（SAVSTEB）
Ann Thorac Surg. 2017 Dec;104(6):e463-e465. doi: 10.1016/j.athoracsur.2017.08.004.
6
Patient management in aortic arch surgery†.主动脉弓手术中的患者管理†
Eur J Cardiothorac Surg. 2017 Jan;51(suppl 1):i4-i14. doi: 10.1093/ejcts/ezw337.
7
Editor's Choice - Management of Descending Thoracic Aorta Diseases: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS).编辑推荐——降主动脉疾病的管理：欧洲血管外科学会（ESVS）临床实践指南
Eur J Vasc Endovasc Surg. 2017 Jan;53(1):4-52. doi: 10.1016/j.ejvs.2016.06.005.
8
Open surgical secondary procedures after thoracic endovascular aortic repair.胸主动脉腔内修复术后的开放性外科二次手术。
Eur J Vasc Endovasc Surg. 2013 Dec;46(6):667-74. doi: 10.1016/j.ejvs.2013.08.022. Epub 2013 Oct 2.

“着陆区丧失”——胸主动脉腔内修复术后主动脉弓部的稳定型血管内治疗解决方案

"Loss of landing zone"-Stabilizing endovascular treatment solutions in the aortic arch after thoracic endovascular aortic repair.

作者信息

Radner Caroline, Pichlmaier Maximilian A, Stana Jan, Buech Joscha, Hagl Christian, Tsilimparis Nikolaos, Peterss Sven

机构信息

Department of Cardiac Surgery, LMU University Hospital, Munich, Germany.

German Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, Germany.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Apr 6;10(4):101498. doi: 10.1016/j.jvscit.2024.101498. eCollection 2024 Aug.

DOI:10.1016/j.jvscit.2024.101498
PMID:38764463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11097063/
Abstract

Addressing proximal complications that arise after endovascular aortic repair for type B aortic dissection, such as type Ia endoleaks, "bird-beaking" of the thoracic endovascular aortic repair (TEVAR) stent, retrograde type A dissection, and postdissection aneurysms, bears considerable complexities. We present a novel and safe method for open arch repair that can ensure a secure and efficient approach for TEVAR complications. The key element of the operative technique is approximating the grafted stent portion to the aortic wall and the arch prosthesis. The technique has successfully been implemented in 11 patients, who received secondary open arch repair from 2019 to 2022 after TEVAR for type B dissection. Our objective is not only to introduce this reliable concept but also to provide a comprehensive demonstration of its advantages and disadvantages compared with currently used open treatment methods and discuss patient outcomes after secondary open arch repair.

摘要

处理B型主动脉夹层血管腔内修复术后出现的近端并发症，如Ia型内漏、胸主动脉腔内修复术（TEVAR）支架的“鸟嘴样改变”、逆行A型夹层和夹层后动脉瘤，存在相当大的复杂性。我们提出了一种新颖且安全的开放弓部修复方法，该方法可为TEVAR并发症提供一种安全有效的处理方式。手术技术的关键要素是使移植的支架部分与主动脉壁和弓部假体贴合。该技术已成功应用于11例患者，这些患者在2019年至2022年期间因B型夹层接受TEVAR术后接受了二次开放弓部修复。我们的目的不仅是介绍这一可靠的概念，还将全面展示其与目前使用的开放治疗方法相比的优缺点，并讨论二次开放弓部修复后的患者预后。