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支架移植物扭曲导致Ovation Alto支架移植物主体腿部闭塞：一例报告。

Leg occlusion of the Ovation Alto stent graft main body caused by twisting of the stent graft: A case report.

作者信息

Naganuma Masaaki, Hayatsu Yukihiro, Tsuruhara Ryoichi, Nomura Hayate, Terao Naoya, Yamaya Kazuhiro, Hata Masaki

机构信息

Department of Cardiovascular Surgery, Sendai Kosei Hospital, Sendai, Miyagi, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Sep 17;10(6):101625. doi: 10.1016/j.jvscit.2024.101625. eCollection 2024 Dec.

DOI:10.1016/j.jvscit.2024.101625
PMID:40027271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11868756/
Abstract

The Ovation Alto stent graft is a unique endovascular abdominal aortic aneurysm repair device. A low-viscosity, radiopaque liquid polymer fills the rings located within the legs of the device. We reported a rare case of a patient diagnosed with an abdominal aortic aneurysm who was surgically treated using endovascular abdominal aortic aneurysm repair with an Ovation Alto stent graft. Polymer underfilling due to contralateral leg twisting of the stent graft's main body resulted in limb occlusion. We highlighted the importance of avoiding the rotation of the Ovation Alto stent graft, thus preventing the potential twisting of this device within the sheath after the insertion of the stent graft's main body.

摘要

奥维森阿尔托覆膜支架是一种独特的血管内腹主动脉瘤修复装置。一种低粘度、不透射线的液态聚合物填充在该装置腿部的环内。我们报告了一例罕见病例，一名被诊断为腹主动脉瘤的患者接受了使用奥维森阿尔托覆膜支架进行的血管内腹主动脉瘤修复手术。由于支架主体对侧腿部扭转导致聚合物填充不足，从而造成肢体闭塞。我们强调了避免奥维森阿尔托覆膜支架旋转的重要性，从而防止在插入支架主体后该装置在鞘管内发生潜在的扭转。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be17/11868756/3bcef137dad9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be17/11868756/0dfa7c8a8111/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be17/11868756/3da44566052f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be17/11868756/3bcef137dad9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be17/11868756/0dfa7c8a8111/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be17/11868756/3da44566052f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be17/11868756/3bcef137dad9/gr3.jpg

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1
Leg occlusion of the Ovation Alto stent graft main body caused by twisting of the stent graft: A case report.支架移植物扭曲导致Ovation Alto支架移植物主体腿部闭塞：一例报告。
J Vasc Surg Cases Innov Tech. 2024 Sep 17;10(6):101625. doi: 10.1016/j.jvscit.2024.101625. eCollection 2024 Dec.
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本文引用的文献

1
One-year safety and effectiveness of the Alto abdominal stent graft in the ELEVATE IDE trial.
J Vasc Surg. 2023 Feb;77(2):446-453.e3. doi: 10.1016/j.jvs.2022.08.016. Epub 2022 Aug 24.
2
Early Experience with the New Ovation Alto Stent Graft in Endovascular Abdominal Aortic Aneurysm Repair.新型Ovation Alto覆膜支架在血管腔内腹主动脉瘤修复中的早期经验
EJVES Vasc Forum. 2021 Nov 27;54:7-12. doi: 10.1016/j.ejvsvf.2021.11.003. eCollection 2022.
3
Long-term outcomes of the Ovation Stent Graft System investigational device exemption trial for endovascular abdominal aortic aneurysm repair.用于血管内腹主动脉瘤修复的Ovation覆膜支架系统研究性器械豁免试验的长期结果。
J Vasc Surg. 2020 Nov;72(5):1667-1673.e1. doi: 10.1016/j.jvs.2020.01.066. Epub 2020 Apr 2.
4
Initial experience with polymer endovascular aneurysm repair using the Alto stent graft.使用阿尔托覆膜支架进行聚合物血管内动脉瘤修复的初步经验。
J Vasc Surg Cases Innov Tech. 2020 Feb 1;6(1):6-11. doi: 10.1016/j.jvscit.2019.04.007. eCollection 2020 Mar.
5
LUCY results show females have equivalent outcomes to males following endovascular abdominal aortic aneurysm repair despite more complex aortic morphology.LUCE 研究结果表明，女性在接受腹主动脉瘤腔内修复术后的结局与男性相当，尽管女性的主动脉形态更为复杂。
J Vasc Surg. 2020 Aug;72(2):566-575.e4. doi: 10.1016/j.jvs.2019.10.080. Epub 2020 Jan 7.
6
The great choke, Ovation® aortic body graft stenosis.严重狭窄，Ovation®主动脉体移植物狭窄。
Vascular. 2019 Aug;27(4):359-362. doi: 10.1177/1708538118820442. Epub 2019 Feb 10.
7
One-year outcomes from an international study of the Ovation Abdominal Stent Graft System for endovascular aneurysm repair.一项关于 Ovation 腹主动脉瘤腔内修复系统的国际研究的一年期结果。
J Vasc Surg. 2014 Jan;59(1):65-73.e1-3. doi: 10.1016/j.jvs.2013.06.065. Epub 2013 Aug 24.