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上升和重复阶段内导管技术用于内血管大动脉动脉瘤修复

Andres V Figueroa¹, Mira T Tanenbaum¹, Jose Eduardo Costa-Filho¹

¹Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Journal of vascular surgery cases and innovative techniques

|March 21, 2024

概括

"上转"内导管技术为具有具有挑战性的 iliofemoral 解剖学的患者提供了复杂的内血管大动脉动脉瘤修复的解决方案,改善了进入和预防血管损伤.

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:

不良的 iliofemoral 解剖学对复杂的内血管大动脉动脉瘤修复 (EVAR) 提出了重大挑战.
在这些复杂的情况下,标准的接入技术可能会导致血管损伤.

研究的目的:

描述"上下"阶段内导管技术,以改善复杂EVAR中的访问.
为了证明这种技术如何可以避免血管损伤的患者不良 iliofemoral 解剖学.

主要方法:

一个分阶段的程序使用内导管 (W.L. 戈尔公司 (Gore & Associates) 进行了.
内导管被推进"上升和超越"大动脉分叉到对侧常 femoral 动脉.
在可行的情况下,保持了内动脉通透性,并通过PerClose sutures (Abbott Vascular) 实现了关闭.

主要成果:

发现"上下"阶段内导管技术是一种有用的方法.
这种方法成功地治疗了患病的接入点,并为未来的支架移植部署保留了ipsilateral股骨接入.
避免最初进入主要大腿部部位,可以防止血管和进入部位的损伤.

结论:

阶段性"上转"内导管的形成是有效的复杂的EVAR在患者有不利的 iliofemoral解剖学.
这种技术可以治疗腹腔和大腿部疾病,同时减轻血管损伤的风险.

关键词:

常见的股骨动脉常见的股骨动脉常见的阴动脉常见的阴动脉内导体是一种内导体.外侧阴动脉外侧阴动脉窗口/分支的内血管动脉瘤修复腹部的阴茎.周围动脉疾病周围动脉疾病

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