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Updated: Feb 7, 2026

04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
563
Physician-modified four-fenestration endograft: The first case in Türkiye
İlker İnce1, İsa Civelek1, Ceylan Gürcan1
1Department of Cardiovascular Surgery, University of Health Sciences Türkiye, Ankara Etlik City Hospital, Ankara, Türkiye.
Turk gogus kalp damar cerrahisi dergisi
|February 5, 2026
まとめ
Physician-modified endografts offer a solution for complex aortic diseases. This first-in-Türkiye case successfully used a four-fenestration endograft for a visceral aortic rupture, ensuring organ perfusion and aneurysm exclusion.
科学分野:
- 血管外科
- 血管内治療
- 大動脈瘤修復
背景:
- 大動脈疾患に対する血管内治療は標準となっているが、内臓分岐の関与は困難である。
- カスタムメイドの窓付き大動脈内ステントグラフトは高価であり、緊急症例では利用できない。
研究 の 目的:
- トルコにおける初の医師改変型4窓付き大動脈内ステントグラフト(PMEG)処置を報告すること。
- 内臓動脈疾患に対する血管内治療における技術的課題に対処すること。
主な方法:
- 医師改変型4窓付き大動脈内ステントグラフト(PMEG)を使用した。
- 内臓大動脈の破裂を伴う症例に対して処置が実施された。
主要な成果:
- 4つの内臓動脈分岐すべてに対する再血管形成に成功した。
- 大動脈瘤の完全な閉塞。
- 患者は問題なく回復し、1ヶ月後の時点で移植片の完全性と分岐部の開存性が確認された。
結論:
- 医師改変型大動脈内ステントグラフトは、複雑な大動脈病変に対する実行可能な選択肢である。
- PMEGは、緊急時におけるカスタムデバイスの限界を克服できる。
- 困難な症例において、内臓分岐の再血管形成に成功した。
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