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背面的桌子的内移植肢体逆转为类型Ia内孔修复内孔修复

Fletcher N Pierce¹, Ahmed Raza¹, Hilary McKinley¹

¹Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA.

Journal of vascular surgery cases and innovative techniques

|December 18, 2023

概括

在动脉附近的大动脉内移植中治疗Ia型内泄的新技术涉及医生修改的内移植. 这种方法成功地修复了内孔,避免了复杂的开放修复或额外的窗户.

科学领域:

血管外科血管外科
血管内干预血管内干预
大动脉动脉瘤修复修复

背景情况:

Ia型内漏是内血管大动脉动脉瘤修复 (EVAR) 的并发症.
靠近动脉的位置使标准的内孔漏洞修复复杂化.
以前的修复策略包括开放式手术或复杂的窗口.

研究的目的:

介绍一种类型Ia的病例:内皮被修改内移植成功治疗.
为了在具有挑战性的解剖学中展示一种新的内孔修复技术.

主要方法:

在动脉附近的一种大动脉内移植中发现了一种类型Ia内孔.
创建了一个后台医生修改的内移植,并进行了对侧肢逆转.
这允许在现有的流量分隔器上部署一个有窗口的袖口和分叉的主体.

主要成果:

修改后的内脏移植成功排除了Ia型内脏病.
这种技术避免了需要进行开放性动脉瘤修复,医生制造的窗体或通过绕道进行大动脉 - 结节修复.
该程序在技术上是简单的和可重复的.

结论:

后台医生修改的内移植对侧肢逆转是Ia型内泄漏的有效技术.
这种方法为更具侵入性的修复方法提供了可行的替代方案.
该技术易于执行,在临床实践中可重现.

关键词:

腹腔大动脉动脉瘤腹腔大动脉动脉瘤血管内主动脉修复血管内主动脉修复医生修改的内脏移植.

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