来自美国大动脉研究联盟的T分支使用的更新
Mitri K Khoury1, Elizabeth Lancaster2, Matthew J Eagleton3
1Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA, USA.
The Journal of cardiovascular surgery
|June 30, 2023
概括
窗口和分支的大动脉内移植,包括像Zenith T-Branch这样的现成选择,扩大了胸腔腹腔大动脉动脉瘤 (TAAA) 的治疗. 这些创新植入的长期结果仍在评估中.
科学领域:
- 血管外科 血管外科
- 医疗器械技术 医疗器械技术
背景情况:
- 大动脉内移植的进化已经改变了复杂的大动脉疾病的治疗.
- 窗体和分支内移植可以通过维持对重要血管的 perfusion 来修复广泛的胸腔腹腔大动脉动脉瘤 (TAAA).
研究的目的:
- 讨论大动脉内移植的演变,特别是窗口和分支装置.
- 为突出TAAAs的常用大动脉内脏移植的开发和应用.
- 为了审查Zenith T-Branch设备的潜力.
主要方法:
- 对有关大动脉内移植的当前文献和临床实践的审查.
- 讨论定制与现成的内移植解决方案.
- 对Zenith T-Branch设备的特性和适用性的分析.
主要成果:
- 窗口和分支内移植可以排除动脉瘤,同时保持脏和内脏动脉 perfusion.
- 现货设备,如Zenith T-Branch,旨在减少与定制移植相比的治疗时间.
- 这些设备的早期结果是有希望的,尽管长期数据正在等待.
结论:
- 现成的窗体化和分支性大动脉内移植在TAAA治疗中取得了重大进展.
- 进一步的长期数据是必要的,以充分评估动脉瘤排除率,分支通透率和重新干预率.
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