机械大动脉可能不再是内分支大动脉内移植的禁忌
Eric Ta Lim1,2, Carmen Ruiz3, Oliver T Lyons1,2
1Department of Vascular, Endovascular and Transplant Surgery, Christchurch Hospital, Christchurch, New Zealand.
Vascular
|July 26, 2023
概括
血管内主动脉门的修复现在可以用机械主动脉进行,克服了以前的禁忌. 这种技术允许安全部署枝内移植,即使在复杂的情况下.
科学领域:
- 心血管外科心血管外科
- 医疗技术 医疗技术 医学技术
- 血管内血管治疗 血管内血管治疗
背景情况:
- 机械大动脉历来是违禁的大动脉门内移植的,原因是门损伤和内脏泄漏的风险.
- 大动脉门和下降胸腔动脉瘤需要先进的内血管解决方案,特别是在先前进行过复杂心脏手术的患者中.
研究的目的:
- 为了证明在患有机械主动脉的患者中内血管主动脉门修复的可行性.
- 介绍一种新的技术,用于在内移植部署期间导航机械大动脉.
主要方法:
- 一名67岁的患有马方综合征和本塔尔手术史的妇女接受了大动脉门和下降胸腺动脉瘤的修复.
- 使用修改后的技术部署了内部分支内移植,以安全地通过机械主动脉传输系统.
主要成果:
- 成功部署了距离冠状动脉按的枝内移植.
- 这项技术可以使输送系统的鼻通过机械大动脉门的口而没有任何并发症.
结论:
- 血管内主动脉门修复在机械主动脉门的存在下是可行的.
- 内血管技术,技巧和外科医生经验的进步使高风险患者的复杂大动脉干预成为可能.
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