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Ben Harrison¹, Richard Bond¹

¹Department of Vascular Surgery, Fiona Stanley Hospital, Perth, WA, Australia.

|May 30, 2023

概括

心脏可引导套 (HSS) 为复杂的内血管治疗提供了一种多功能解决方案. 这项研究表明它们在挑战大动脉手术中的有效性,改善了标准方法失败的患者结果.

科学领域:

血管外科血管外科
血管内干预血管内干预
医疗设备创新医疗设备创新

背景情况:

标准导管在访问复杂的血管病理时经常面临挑战.
分支和窗体大动脉移植需要精确的目标血管通道.
心脏电生理学设备可能为非心脏干预提供新的解决方案.

研究的目的:

评估用于非心脏内血管治疗的心脏设计可引导罩的实用性.
评估大动脉移植的目标血管通道的易用性和有效性.
在复杂的血管疾病中展示HeartSpan可引导罩 (HSS) 的应用.

主要方法:

对15名使用HeartSpan可引导罩 (HSS) 的患者 (2019-2022) 的回顾性评估.
分析涉及复杂血管病理和具有挑战性的目标血管通道的病例.
案例介绍,重点是通过远端接入和外套特征插入分支移植.

主要成果:

在标准方法失败的23艘目标船中,21艘成功进行了管和支架.
在5个案例中,HSS促进了窗体内血管移植的部署,在4个案例中促进了全t分支移植的部署.
已证明在对缺血症,关动脉管和分支器件访问的上层中枢动脉管中具有实用性.

结论:

像HSS这样的心脏可导向罩在主动脉内血管手术中对具有挑战性的血管进行管道化是有效的.
这种修改后的方法可以挽救其他情况下被认为是不可操作的病例,特别是当专业的大动脉外无法使用时.
高血压系统为复杂的内血管干预提供了可行的替代方案,提高了治疗的可访问性.

关键词:

血管内主动脉修复血管内主动脉修复分支内血管大动脉修复道化 (cannulation) 是一种对道进行道化的方法.可导向的导管导管.

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