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使用戈尔胸腹多分支血管内修复装置对既往开窗式血管内主动脉修复术后近端退变进行血管内修复。

Endovascular repair with the Gore thoracoabdominal multibranch endoprosthesis for proximal degeneration after prior fenestrated endovascular aortic repair.

作者信息

Cralle Lauren, DiLosa Kathryn, Maximus Steven

机构信息

Division of Vascular Surgery, University of California Davis Medical Center, Sacramento, CA.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Oct 26;11(1):101664. doi: 10.1016/j.jvscit.2024.101664. eCollection 2025 Feb.

DOI:10.1016/j.jvscit.2024.101664
PMID:39654955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11626534/
Abstract

Degeneration of the thoracoabdominal aorta proximal to a prior fenestrated endovascular aortic repair represents a complex issue with limited options for repair. Previously, modified endografts or open conversion with endograft explant offered the only options for management. Here we describe use of the Gore Thoracoabdominal Multibranch Endoprosthesis for exclusion of an extent III thoracoabdominal aneurysm in the setting of degeneration proximal to a previously placed fenestrated device.

摘要

在先前开窗式血管腔内主动脉修复术近端的胸腹主动脉退变是一个复杂问题，修复选择有限。此前，改良的血管内移植物或带血管内移植物取出的开放转换是唯一的处理选择。在此，我们描述了在先前放置的开窗装置近端退变情况下，使用戈尔胸腹多分支血管内假体来排除Ⅲ型胸腹主动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4eb/11626534/fad3d9c3b168/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4eb/11626534/da85e11fdccd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4eb/11626534/e7eebf69d825/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4eb/11626534/fad3d9c3b168/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4eb/11626534/da85e11fdccd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4eb/11626534/e7eebf69d825/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4eb/11626534/fad3d9c3b168/gr3.jpg

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本文引用的文献

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Techniques and Limitations of Gore Thoracoabdominal Multibranch Endoprosthesis (TAMBE) for Type 1A Endoleak After Failed Endovascular Aortic Repairs.血管腔内主动脉修复失败后，戈尔特斯胸腹多分支内支架移植物（TAMBE）治疗ⅠA型内漏的技术与局限性
J Endovasc Ther. 2023 Nov 26:15266028231214211. doi: 10.1177/15266028231214211.
2
A fenestrated, double-barrel technique for proximal reintervention after open or endovascular abdominal aortic aneurysm repair.一种用于开放或血管腔内腹主动脉瘤修复术后近端再次干预的开窗双腔技术。
J Vasc Surg Cases Innov Tech. 2022 Dec 23;9(1):101091. doi: 10.1016/j.jvscit.2022.101091. eCollection 2023 Mar.
3
Elective late open conversion after endovascular aneurysm repair is associated with comparable outcomes to primary open repair of abdominal aortic aneurysms.
血管内动脉瘤修复术后择期晚期开放转换与腹主动脉瘤一期开放修复的预后相当。
J Vasc Surg. 2021 Feb;73(2):502-509.e1. doi: 10.1016/j.jvs.2020.05.033. Epub 2020 May 27.
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Technical aspects and 30-day outcomes of the prospective early feasibility study of the GORE EXCLUDER Thoracoabdominal Branched Endoprosthesis (TAMBE) to treat pararenal and extent IV thoracoabdominal aortic aneurysms.GORE EXCLUDER 胸主动脉分支型腔内覆膜支架（TAMBE）治疗肾周和 IV 型胸腹主动脉瘤的前瞻性早期可行性研究的技术方面和 30 天结果。
J Vasc Surg. 2019 Aug;70(2):358-368.e6. doi: 10.1016/j.jvs.2018.10.103. Epub 2019 Jan 3.
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Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair.腹主动脉瘤血管内修复术后瘤囊增大的预测因素。
Circulation. 2011 Jun 21;123(24):2848-55. doi: 10.1161/CIRCULATIONAHA.110.014902. Epub 2011 Apr 10.
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