相关实验视频

Updated: Jun 24, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair

A New Murine Model of Endovascular Aortic Aneurysm Repair

Published on: July 7, 2013

混合弧动脉瘤修复与上升的大动脉包裹和TEVAR

Omar El Shazly^1,2, Florent Porez¹, Ramzi Ramadan¹

¹Aortic Center, Hôpital Marie-Lannelongue, Groupe Hospitalier Paris Saint Joseph, Université Paris-Saclay, INSERM UMR_S 999, Le Plessis Robinson, France.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

|January 15, 2025

概括

用TEVAR进行上升大动脉包裹为高风险患者提供了可行的解决方案,这些患者患有不适合标准修复的大动脉动脉瘤. 这种方法表现出了有利的结果,包括在一个小群体中降低死亡率和中风率.

科学领域:

心血管外科心血管外科
血管外科血管外科
干预心脏病学干预心脏病学

背景情况:

在高风险患者中,大动脉动脉瘤的管理存在挑战,特别是当上升性大动脉扩张阻止了内血管的完全修复时.
冷大象干技术往往不适合这些复杂的案例.

研究的目的:

评估上升性大动脉包裹 (AW) 与区域0胸内血管大动脉修复 (TEVAR) 结合在患有大动脉动脉瘤的高风险患者中的安全性和有效性.
评估不符合标准开放性修复或全内血管分支修复 (arch BEVAR) 资格的患者的结果.

主要方法:

在2013年至2024年期间,对12名患有大动脉动脉瘤的高风险患者进行了回顾性分析,这些患者接受了AW和TEVAR治疗.
包括的患者接受了上大动脉血管 (SAVs) 脱枝 (开放或内血管).
计算机断层扫描血管造影 (CTA) 用于术前和术后评估;主要终点是30天死亡率和中风.

主要成果:

上升大动脉的平均直径从47.7毫米减少到35.6毫米的包裹后.
在30天内没有发生中风;一名患者在术后第7天死于心脏骤停.
平均随访时间为28个月,大多数患者的治疗结果良好,并发症可控.

结论:

带有脱枝和0区TEVAR的上升性大动脉包裹对于患有大动脉动脉瘤和不利于标准修复的解剖学的高风险患者来说是一个可行的选择.
这种混合技术避免了心肺绕道和大动脉交叉紧,提供了一个不那么侵入性的替代方案.

关键词:

大动脉门的门.大动脉弧动脉瘤大动脉.大动脉门剖析上升的大动脉上升胸内血管大动脉修复

更多相关视频

Surgical Technique for the Implantation of Tissue Engineered Vascular Grafts and Subsequent In Vivo Monitoring

Surgical Technique for the Implantation of Tissue Engineered Vascular Grafts and Subsequent In Vivo Monitoring

Published on: April 3, 2015

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

相关概念视频

Aneurysm I: Introduction

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...