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治疗大动脉瘤的三明治技术:如何调整平行移植的尺寸

Bilal Koussayer¹, Louai Zaidan², Anas Atassi²

¹University of South Florida Health Morsani College of Medicine, 560 Channelside Dr, Tampa, FL, 33602, USA.

Surgery in practice and science

|January 23, 2025

概括

一种新的配方准确地调整了三明治技术的支架尺寸,在甲状腺动脉瘤修复过程中保持了内动脉流动. 这种方法显示出高密封率和复杂的内血管程序的可行性.

科学领域:

血管外科血管外科
血管内干预血管内干预
生物医学工程生物医学工程

背景情况:

甲状腺动脉瘤的内血管动脉瘤修复 (EVAR) 可以损害内动脉 (IIA) 血流.
三明治技术 (ST) 提供了一个替代方案,通过使用覆盖式支架来保持IIA的专利性.
准确的大小的支架移植对于ST的成功至关重要,但仍然是一个挑战.

研究的目的:

开发和验证一个数学公式,用于精确的支架移植大小在ST.
为了评估ST的有效性和安全性,使用新型大小公式对大动脉瘤进行测量.

主要方法:

基于动脉周长的数学证明是为了计算ST的支架直径而得出的.
配方包括2毫米的添加,以考虑到支架移植的厚度.
十名患有常见阴动脉动脉瘤的患者使用配方进行ST,然后进行CTA扫描.

主要成果:

10名患者中有7名在手术期间实现了完全封闭,没有III型内漏.
剩下的三名患者患有过渡性III型内分泌泄漏,在三个月的随访后消失.
一年后的随访发现并发症很少,其中一名患者经历了中度音和勃起功能障碍.

结论:

开发的数学公式提供了一种实用且可行的方法,用于在ST中测量支架大小.
ST是一种具有成本效益和可实施的方法,甚至适用于紧急情况.
使用精确尺寸标准化的ST可以减少浪费,改善长期维修结果,并最大限度地减少并发症.

关键词:

甲状腺动脉瘤 (Aortoiliac Aneurysm) 是一种动脉瘤.埃瓦尔·埃瓦尔 (Evar Evar) 是一个人.这是一种三明治技术.支架体大小测量支架体大小测量

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