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纳朱塔开窗型主动脉覆膜支架治疗主动脉弓部动脉瘤的一般信息及应用

General Information and Applications of Najuta Fenestrated Stent Grafts for Aortic Arch Aneurysms.

作者信息

Onitsuka Seiji, Tanaka Atsuhisa, Otsuka Hiroyuki, Shintani Yusuke, Kanamoto Ryo, Negoto Shinya, Tayama Eiki

机构信息

Department of Surgery, Kurume University School of Medicine, Fukuoka 830-0011, Japan.

Department of Thoracic & Cardiovascular Surgery, Saga University School of Medicine, Saga 849-8501, Japan.

出版信息

J Clin Med. 2024 Dec 25;14(1):36. doi: 10.3390/jcm14010036.

DOI:10.3390/jcm14010036
PMID:39797118
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11721579/
Abstract

Endovascular stent graft repair was developed to minimize the invasiveness of open surgery for thoracic and abdominal aortic diseases. This approach involves covering the diseased segment with a stented artificial graft. However, in thoracic endovascular aortic repair (TEVAR) for aortic arch diseases, special consideration is needed to preserve the aortic arch vessels. Standard stent grafts often require additional procedures, such as bypass surgery, to reconstruct the arch vessels. The semi-custom-made Najuta fenestrated stent graft was developed to address this issue. It is a three-dimensional patient-specific stent graft with fenestrations that allow for the preservation of the arch vessels. This study discusses the unique features of the Najuta stent graft and the techniques for its deployment, and it provides an analysis of treatment outcomes based on the current literature.

摘要

血管内支架移植物修复术的发展是为了尽量减少胸主动脉和腹主动脉疾病开放手术的侵入性。这种方法包括用带支架的人工移植物覆盖病变段。然而，在用于主动脉弓疾病的胸主动脉腔内修复术（TEVAR）中，需要特别考虑保留主动脉弓血管。标准支架移植物通常需要额外的手术，如搭桥手术，来重建弓血管。半定制的Najuta开窗支架移植物就是为解决这个问题而开发的。它是一种针对患者的三维开窗支架移植物，可保留弓血管。本研究讨论了Najuta支架移植物的独特特征及其植入技术，并根据现有文献对治疗结果进行了分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/ab35320a7112/jcm-14-00036-g013.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/8fd20ace0326/jcm-14-00036-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/ab35320a7112/jcm-14-00036-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/945e09eba80c/jcm-14-00036-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/5cbd64f2ef4b/jcm-14-00036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/9f66ca6f7237/jcm-14-00036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/badf1a6804ee/jcm-14-00036-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/b44975ae4f18/jcm-14-00036-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/4b36bb6eabf5/jcm-14-00036-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/82821f0b371f/jcm-14-00036-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/8fd20ace0326/jcm-14-00036-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/9be6737d4ebb/jcm-14-00036-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/692384c8d15c/jcm-14-00036-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/420a3c1feedc/jcm-14-00036-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/958506bb220f/jcm-14-00036-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c0/11721579/ab35320a7112/jcm-14-00036-g013.jpg

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本文引用的文献

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Clinical outcomes of Najuta thoracic stent graft system for arch aneurysms.Najuta胸主动脉覆膜支架系统治疗主动脉弓部动脉瘤的临床疗效
Front Surg. 2023 May 16;10:1167714. doi: 10.3389/fsurg.2023.1167714. eCollection 2023.
2
A systematic review and meta-analysis of thoracic endovascular aortic repair with the proximal landing zone 0.对近端着陆区为0的胸主动脉腔内修复术的系统评价和荟萃分析
Front Cardiovasc Med. 2023 Feb 24;10:1034354. doi: 10.3389/fcvm.2023.1034354. eCollection 2023.
3
A technical review of bail-out procedures to place Najuta stent-graft into the ascending aorta.
将Najuta覆膜支架置入升主动脉的补救手术技术回顾。
CVIR Endovasc. 2023 Feb 21;6(1):7. doi: 10.1186/s42155-023-00351-4.
4
Preliminary results from an Italian National Registry on the outcomes of the Najuta fenestrated aortic arch endograft.意大利国家登记处关于 Najuta 开窗主动脉弓覆膜支架的结果的初步结果。
J Vasc Surg. 2023 May;77(5):1330-1338.e2. doi: 10.1016/j.jvs.2022.12.059. Epub 2023 Jan 5.
5
Preemptive fenestrated endovascular repair aimed at perfusion of cervical branches in acute type B aortic dissection.旨在灌注急性B型主动脉夹层颈部分支的预防性开窗血管腔内修复术。
Gen Thorac Cardiovasc Surg. 2023 Jun;71(6):339-346. doi: 10.1007/s11748-022-01886-4. Epub 2022 Nov 21.
6
Collapse of Najuta endograft (aortic arch graft) in patient with intermittent paraparesis.纳朱塔腔内移植物（主动脉弓移植物）在间歇性轻截瘫患者中塌陷。
Indian J Thorac Cardiovasc Surg. 2022 Sep;38(5):521-524. doi: 10.1007/s12055-022-01363-w. Epub 2022 May 18.
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Applicability of endovascular branched and fenestrated aortic arch repair devices to treat residual type A dissection after ascending replacement.腔内分支型和开窗型主动脉弓修复装置在升主动脉置换术后治疗残留型 A 型夹层的应用。
J Vasc Surg. 2022 Dec;76(6):1440-1448. doi: 10.1016/j.jvs.2022.08.018. Epub 2022 Aug 23.
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Outcomes of endovascular repair of aortic aneurysms with the GORE thoracic branch endoprosthesis for left subclavian artery preservation.腔内修复主动脉瘤中使用戈尔胸部分支覆膜支架保留左锁骨下动脉的结果。
J Vasc Surg. 2022 Nov;76(5):1141-1149.e3. doi: 10.1016/j.jvs.2022.05.014. Epub 2022 Jun 14.
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