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普罗塔戈拉斯3.0:对于复杂的腹腔大动脉动脉瘤,当前窗口内移植和烟技术的可行性

Stefano Fazzini¹, Valerio Turriziani², Luca Tonidandel²

¹Unit of Vascular and Endovascular Surgery, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy - stefano.fazzini@uniroma2.it.

The Journal of cardiovascular surgery

|April 18, 2024

概括

与较旧的模型和烟技术相比,较新的低调的窗体内移植为复杂的腹腔大动脉动脉瘤 (C-AAA) 提供了更大的解剖可行性.

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:

复杂的腹腔大动脉瘤 (C-AAA) 对内血管修复构成挑战.
评估窗口内血管大动脉修复 (FEVAR) 和烟技术 (EnChEVAR) 的解剖学可行性至关重要.

研究的目的:

评估当前FEVAR设备的解剖学可行性,以及标签上的C-AAA的EnChEVAR.
为了比较不同内脏移植设计对复杂的大动脉解剖学的适用性.

主要方法:

从73名C-AAA患者的CT血管图的回顾性审查.
评估了Endurant II/IIS (Medtronic),Zenith Fenestrated,Zenith Fenestrated LP (Cook Medical),Fenestrated Anaconda LoPro90和Fenestrated Treo (Terumo Aortic) 设备的可行性. 这些设备包括:
理想的规划局限于两个窗户或烟接种.

主要成果:

整体可行性差异很大:恩切瓦尔 (33%) 与费瓦尔 (15-48%).
较低的FEVAR设备 (LP,Anaconda,Treo) 显示出更高的可行性 (71%的组合).
Zenith Fenestrated标准配置文件具有较低的阴接入可行性;EnChEVAR和Treo显示出更高的大动脉部可行性.

结论:

许多适合烟EVAR (ChEVAR) 的C-AAA患者不会成为第一代FEVAR的候选人.
目前低调的FEVAR设备,可以容纳角的子,显著提高C-AAA修复的解剖学可行性.

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