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基于桡动脉的胸主动脉分支内支架修复术治疗胸主动脉瘤在一家郊区社区医院的经验

Transradial-based thoracic branch endograft repair for thoracic aortic aneurysms experience at a suburban community hospital.

作者信息

Mendiola Pla Michelle, Bennett Bryan, Kim Yonjae, Chamberlin Jack R, Baqai Atif

机构信息

Department of Surgery, Mount Sinai Hospital, Chicago, IL.

Division of Vascular Surgery, Ascension Medical Group Illinois, Elk Grove Village, IL.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Nov 8;11(1):101677. doi: 10.1016/j.jvscit.2024.101677. eCollection 2025 Feb.

DOI:10.1016/j.jvscit.2024.101677
PMID:39691795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650290/
Abstract

We present two cases where a transradial-based approach was used to implant thoracic branch aortic endografts to repair aortic aneurysms totally percutaneously. Both procedures were performed electively at a 330-bed suburban community hospital. No complications were associated with either procedure with both patients only requiring overnight observation and being discharged home the next day. With careful patient selection, the transradial through-and-through approach for thoracic endovascular aortic repair using the Gore Thoracic Branch Endoprosthesis provides a totally percutaneous option that can be performed feasibly and safely within a community hospital setting.

摘要

我们介绍了两例采用经桡动脉途径完全经皮植入胸主动脉分支型腔内移植物修复主动脉瘤的病例。这两台手术均在一家拥有330张床位的郊区社区医院择期进行。两台手术均未出现并发症，两名患者仅需过夜观察，次日即可出院回家。通过仔细筛选患者，使用戈尔胸主动脉分支型腔内修复装置经桡动脉全程途径进行胸主动脉腔内修复术提供了一种完全经皮的选择，在社区医院环境中可行且安全地进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72aa/11650290/b9df1fd214d1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72aa/11650290/a4afb60c0e5a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72aa/11650290/b9df1fd214d1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72aa/11650290/a4afb60c0e5a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72aa/11650290/b9df1fd214d1/gr2.jpg

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本文引用的文献

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Early experience with the Gore TAG thoracic branch endoprosthesis for treatment of acute aortic pathology.戈尔特斯TAG胸部分支血管内假体治疗急性主动脉病变的早期经验。
J Vasc Surg Cases Innov Tech. 2023 Nov 2;10(1):101363. doi: 10.1016/j.jvscit.2023.101363. eCollection 2024 Feb.
2
Gore TAG thoracic branch endograft for treatment of a subacute type B aortic dissection complicated by rupture.戈尔特斯TAG胸主动脉分支型覆膜支架治疗亚急性B型主动脉夹层并破裂
J Vasc Surg Cases Innov Tech. 2023 Apr 25;9(2):101193. doi: 10.1016/j.jvscit.2023.101193. eCollection 2023 Jun.
3
Evaluation of the Gore TAG thoracic branch endoprosthesis in the treatment of proximal descending thoracic aortic aneurysms.
评价戈尔 TAG 胸主动脉分支覆膜支架在治疗近端降主动脉瘤中的应用。
J Vasc Surg. 2021 Nov;74(5):1483-1490.e2. doi: 10.1016/j.jvs.2021.04.025. Epub 2021 Apr 30.
4
Percutaneous access planning, techniques and considerations for endovascular aortic repair (EVAR).血管腔内主动脉修复术（EVAR）的经皮入路规划、技术及注意事项
Cardiovasc Diagn Ther. 2018 Apr;8(Suppl 1):S184-S190. doi: 10.21037/cdt.2018.03.06.
5
Radial artery occlusion after transradial coronary catheterization.经桡动脉冠状动脉导管插入术后桡动脉闭塞
Cardiovasc Diagn Ther. 2017 Jun;7(3):305-316. doi: 10.21037/cdt.2017.03.14.
6
Branched Endovascular Therapy of the Distal Aortic Arch: Preliminary Results of the Feasibility Multicenter Trial of the Gore Thoracic Branch Endoprosthesis.主动脉弓远端的分支血管内治疗：戈尔胸部分支血管内假体可行性多中心试验的初步结果
Ann Thorac Surg. 2016 Oct;102(4):1190-8. doi: 10.1016/j.athoracsur.2016.03.091. Epub 2016 Jun 2.
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[Incidence and risk factors of acute radial artery occlusion following transradial percutaneous coronary intervention].经桡动脉冠状动脉介入治疗后急性桡动脉闭塞的发生率及危险因素
Zhonghua Yi Xue Za Zhi. 2007 Jun 12;87(22):1531-4.