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采用Castor单分支支架型人工血管杂交修复复杂急性主动脉弓壁内血肿。

Hybrid repair of complicated acute aortic arch intramural haematoma with the Castor single-branch stent graft.

作者信息

Rizza Antonio, Palmieri Cataldo, Di Sibio Silvia, Murzi Michele

机构信息

Cardiology Unit, Heart Hospital, Fondazione Toscana "G. Monasterio", Massa, Italy.

Institute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.

出版信息

Interdiscip Cardiovasc Thorac Surg. 2024 Oct 8;39(4). doi: 10.1093/icvts/ivae163.

DOI:10.1093/icvts/ivae163
PMID:39404836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11513247/
Abstract

We report the off-label application of the Castor single-branch stent graft for a complicated acute intramural haematoma involving the aortic arch. The endograft was deployed in zone 1 with the single branch in the left common carotid artery through a surgical left carotid and percutaneous right femoral artery access. The procedure was completed with the construction of a left carotid-subclavian bypass followed by plug embolization of the left subclavian artery.

摘要

我们报道了Castor单分支覆膜支架型血管移植物在涉及主动脉弓的复杂急性壁内血肿中的非标签应用。通过外科左颈动脉和经皮右股动脉入路，将腔内移植物置于1区，单分支位于左颈总动脉。该手术通过构建左颈动脉-锁骨下动脉旁路，随后对左锁骨下动脉进行封堵栓塞完成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0520/11513247/6f8b1d9b44c2/ivae163f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0520/11513247/e7c256bdfe5b/ivae163f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0520/11513247/6f8b1d9b44c2/ivae163f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0520/11513247/e7c256bdfe5b/ivae163f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0520/11513247/6f8b1d9b44c2/ivae163f2.jpg

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本文引用的文献

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Preliminary Outcomes of Zone 2 Thoracic Endovascular Aortic Repair Using Castor Single-Branched Stent Grafts: A Single-Center Experience.使用Castor单分支支架型人工血管行胸主动脉腔内修复术治疗2区病变的初步结果：单中心经验
J Clin Med. 2023 Dec 9;12(24):7593. doi: 10.3390/jcm12247593.
2
Outcomes of thoracic endovascular aortic repair with fenestrated surgeon-modified stent-graft for type B aortic dissections involving the aortic arch.采用开窗式外科医生改良支架型人工血管行胸主动脉腔内修复术治疗累及主动脉弓的B型主动脉夹层的疗效
Front Cardiovasc Med. 2023 Jan 16;9:1031068. doi: 10.3389/fcvm.2022.1031068. eCollection 2022.
3
Systematic review and meta-analysis of type B aortic dissection involving the left subclavian artery with a Castor stent graft.
关于使用Castor支架型人工血管治疗累及左锁骨下动脉的B型主动脉夹层的系统评价和荟萃分析
Front Cardiovasc Med. 2022 Nov 29;9:1052094. doi: 10.3389/fcvm.2022.1052094. eCollection 2022.
4
Penetrating Aortic Ulceration Treated with Castor Branched Aortic Stent Graft-A Case Series.覆膜分叉主动脉支架治疗穿透性主动脉溃疡-病例系列。
Int J Environ Res Public Health. 2022 Apr 15;19(8):4809. doi: 10.3390/ijerph19084809.
5
Multidisciplinary aortic arch procedures within the "Aortic Team".“主动脉团队”内的多学科主动脉弓手术
Kardiochir Torakochirurgia Pol. 2022 Mar;19(1):11-15. doi: 10.5114/kitp.2022.114549. Epub 2022 Mar 24.