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现代医生修改的内移植技术用于脏和介肠血管的整合
Rohan Basu1, Payton Miller1, Alexa Hughes1
1Department of Surgery, Division of Vascular Surgery, Indiana University School of Medicine, Indianapolis, IN.
Annals of vascular surgery
|December 28, 2025
概括
医生修改的内移植 (PMEG) 为涉及内脏-脏段的复杂腹腔大动脉动脉瘤提供了解决方案. 这些随时可用的设备可以在没有定制制造等待时间的情况下进行快速维修.
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:
- 血管内大动脉手术的适用性已经扩展到正侧脉和侧脉部分.
- 由于解剖学和密封区的限制,传统设备不适合涉及内脏-脏段的复杂动脉瘤.
- 对于这些复杂的案例,商用设备的数量有限,有些需要长时间的定制制造.
研究的目的:
- 描述使用医生修饰内移植 (PMEG) 结合内脏和动脉的现代规划和技术方法.
- 突出PMEG作为解剖学复杂的腹腔大动脉动脉瘤的快速解决方案.
- 为了证明PMEG对不同患者解剖学的适应性.
主要方法:
- 利用商业上可用的内移植来创建医生修改的内移植 (PMEG).
- 将诸如窗格和定向分支等修改纳入PMEG.
- 应用现代规划和技术策略用于内脏和脏动脉的整合.
主要成果:
- 在没有定制制造等待期的情况下,PMEG可以很容易地制造.
- PMEG修改允许适应各种复杂的大动脉解剖学.
- 通过PMEG,可以成功地将内脏和动脉纳入脏动脉.
结论:
- 医生修改的内脏移植 (PMEG) 提供了一个可行和及时的解决方案,复杂的干性和干性腹腔大动脉动脉瘤.
- PMEG技术使定制能够应对解剖学挑战,包括内脏和脏动脉覆盖.
- 这种方法扩大了复杂的大动脉病理不适合标准内血管器件的患者的治疗选择.
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