科尔特装置用于治疗胸腔腹腔动脉瘤 - 概念和临床结果
Piotr Szopiński1, Eliza Pleban1, Jarosław Iwanowski1
1Clinic of Vascular Surgery, Institute of Hematology and Transfusion Medicine, 02-776 Warsaw, Poland.
Reviews in cardiovascular medicine
|July 30, 2024
概括
科尔特支架移植在治疗胸腔腹腔动脉瘤 (TAAA) 方面显示出有前途的结果. 这种新设备可以适应各种TAAA解剖学,为未来的"现成"解决方案提供了潜力.
科学领域:
- 血管外科 血管外科
- 医疗器械技术 医疗器械技术
- 动脉瘤治疗 动脉瘤治疗
背景情况:
- 胸腔腹腔动脉瘤 (TAAA) 带来了重大的治疗挑战.
- 现有的支架移植选项在复杂的解剖学上可能有局限性.
研究的目的:
- 为了评估一种新型支架移植的应用和结果,科尔特装置,用于TAAA治疗.
- 评估科尔特支架移植在不同患者队列中的可行性和安全性.
主要方法:
- 对22名TAAAA患者进行了回顾性观察性研究,这些患者接受了科尔特支架移植.
- 科尔特设备具有独特的自我扩张的尼醇外骨架,具有聚覆盖和多个分支.
- 程序涉及Colt装置的植入,有或没有扩展,以及目标血管的重建.
主要成果:
- 在患有TAAAs (II,III,IV类型) 的患者身上植入了22个科尔特支架移植.
- 85艘目标船成功重建;没有观察到I型内泄漏.
- 随访显示没有设备迁移,在大多数情况下保持了通透性,具有可控的内脏漏洞和分支封闭.
结论:
- 科尔特支架移植在治疗各种TAAA解剖学方面显示出有前途的结果.
- 该设备的适应性表明未来在TAAA管理中开发"现成"解决方案的潜力.
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