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混合内血管治疗复杂的大动脉剖析并发与真正的光线消灭:一个案例报告

Kuniyasu Ikeoka¹, Hiroyuki Nishi², Yasunori Ueda¹

¹Cardiovascular Division, NHO Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka, Osaka 540-0006, Japan.

European heart journal. Case reports

|February 12, 2024

概括

这项研究介绍了胸前大动脉动脉瘤的两阶段内血管修复与真正的光线消灭. 结合CERAB和DDMT技术成功治疗了复杂的大动脉解剖,提供了最少侵入性的选择.

科学领域:

血管外科血管外科
血管内干预血管内干预
大动脉疾病管理管理

背景情况:

胸内血管大动脉修复 (TEVAR) 是常见的,但真正的光线消灭可以防止转移性方法.
一名74岁的男性有B型主动脉解剖史,由于主动脉退化而出现下肢硬化.

研究的目的:

为了证明两阶段内血管治疗胸腔动脉瘤退行症的可行性,与真正的光线消灭.
评估CERAB和DDMT技术在治疗复杂的大动脉病理方面的有效性.

主要方法:

从手臂动脉和大腿动脉使用双向方法.
进行了崩的真光线的再通道化.
使用覆盖性大动脉分支的内血管重建 (CERAB) 和双D形成型技术 (DDMT),随后使用1分支的TEVAR与关动脉绕道.

主要成果:

结合CERAB和DDMT技术有效地创建了一个覆盖式支架配置.
在下线段的III型内孔被最小化.
一种两阶段的混合内血管治疗成功地进行了,提供了一个最小侵入性的解决方案.

结论:

这一案例证明了两阶段内血管方法对胸腺动脉瘤的可行性,具有真正的光线消灭.
结合CERAB和DDMT的混合技术在管理复杂的大动脉剖析方面是有效的.
这种方法为具有挑战性解剖学的患者提供了最少的侵入性治疗选择.

关键词:

大动脉动脉瘤是一个大动脉动脉瘤.案例报告案例报告覆盖了大动脉分支的内血管重建.双D形成型技术的双D形成型技术血管内治疗血管内治疗胸内血管大动脉修复

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