新一代气球可扩展支架移植 (Gore VBX) 的性能作为B-EVAR的桥梁支架
Ciro Ferrer1, Ottavia Borghese2, Bernardo Orellana2
1Unit of Vascular and Endovascular Surgery, San Giovanni - Addolorata Hospital, Rome, Italy - cfrrr83@gmail.com.
The Journal of cardiovascular surgery
|September 17, 2024
概括
在Viabahn VBX支架移植显示出优异的性能作为桥梁支架在分支内血管大动脉修复 (B-EVAR). 这项研究发现了高的技术成功率和破解率,以及最小的分支不稳定性,这表明它在B-EVAR程序中的有效性.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 医疗器械技术 医疗器械技术
背景情况:
- 分支内血管大动脉修复 (B-EVAR) 是一个复杂的程序,需要可靠的支架移植.
- 维亚巴恩VBX是一种新一代气球可扩展支架,用于B-EVAR应用.
研究的目的:
- 为了评估Viabahn VBX支架移植的单中心经验.
- 评估其作为B-EVAR程序中的桥梁支架的有效性.
主要方法:
- 一个前性维护的数据库的回顾性分析.
- 在B-EVAR中包括在5年内接受至少一次VBX支架移植的患者.
- 主要结果:技术上的成功,支架的穿透性,与分支相关的重新干预以及分支的不稳定性.
主要成果:
- 100%的技术成功,在141个目标船只中植入了147个VBX支架.
- 在26.5个月的中位随访期间,高的初级 (98.5%) 和二级 (99.3%) 穿透率.
- 支部不稳定率低 (4.9%),主要是由于Ic型内皮病,临床成功率为97.5%.
结论:
- 维亚巴恩VBX支架植入器在B-EVAR中表现出高度的灵活性,可追踪性和出色的穿透性.
- 实现宽裕的远端着陆至关重要,以最大限度地减少Ic型内泄漏和随后的分支不稳定.
- 需要进一步进行长期耐用性研究.
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