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胸腔腹腔大动脉动脉瘤的内血管治疗,使用定制的内脏移植
André Rodrigo Miquelin1, Daniel Gustavo Miquelin1, Fernando Reis1
1Faculdade de Medicina de São José do Rio Preto - FAMERP, Departamento de Cirurgia Vascular e Endovascular, São José do Rio Preto, SP, Brasil.
Jornal vascular brasileiro
|November 26, 2025
概括
这项研究报告了巴西首次使用定制内移植用于胸腹动脉动脉瘤 (TAAA) 的经验. 血管内修复被证明是可行的,为复杂的TAAA病例提供了不那么侵入性的选择.
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:
- 胸腔腹腔大动脉动脉瘤 (TAAA) 带来了重大的外科手术挑战.
- 开放式修复与高死亡率和发病率有关.
- 内血管治疗提供了一个不那么侵入性的替代方案,但来自巴西的数据有限.
研究的目的:
- 报告 endovascular TAAA 修复的初始机构经验,使用定制的分支和 fenestrated 内移植.
- 评估这种方法在巴西队列中的可行性和早期结果.
主要方法:
- 对四名接受内血管修复的TAAA患者的回顾性分析.
- 使用基于CT成像的定制布莱尔内移植.
- 支架放置以保持内脏动脉通透性,随后进行CT和血管造影后续检查.
主要成果:
- 在所有四名患者中成功植入,需要10个内脏分支.
- 在手术后,目标内脏动脉的通透率为90%.
- 在随访CT时,完全排除了动脉瘤,并没有观察到任何泄漏.
- 一例困难的乳干管,在二次手术中成功管理,没有缺血.
结论:
- 用定制内移植治疗TAAA的内血管治疗在巴西是可行的.
- 这种方法表明,它有可能成为复杂的TAAA解剖学的首选治疗方法.
- 需要进一步的研究来证实长期的结果.
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