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复杂AAA中的内部分支内移植:案例报告比较现成和定制选项

Pere Altés¹, Ivan Sánchez¹, Lucía Martínez¹

¹Department of Angiology and Vascular Surgery, Germans Trias i Pujol University Hospital, Catalonia, Badalona, Spain, germanstrias.org.

Case reports in surgery

|December 31, 2025

概括

现成的E-inside内移植对复杂的大动脉动脉瘤是安全的,为紧急病例提供快速访问. 定制移植导致主动脉覆盖率降低,对复杂的主动脉动脉瘤修复选项的辐射暴露率相似.

科学领域:

血管外科血管外科
血管内动脉瘤修复 (EVAR) 进行.
大动脉动脉瘤管理管理

背景情况:

复杂的大动脉动脉瘤往往需要患者特定的内脏移植由于解剖学上的挑战.
E-inside系统是一个独特的现成的胸腔腹腔内移植,具有预先化的内部分支.
将现货 (E-inside) 与定制 (E-xtra Design MultiBranch) 内脏移植进行比较对于现实世界复杂的大动脉瘤修复至关重要.

研究的目的:

描述和比较临床指示,技术特征和手术内结果.
评估E-inside和E-xtra设计多分支内移植在治疗复杂腹腔大动脉动脉瘤 (AAA) 的安全性和有效性.

主要方法:

一个案例系列比较现成的E-nside和定制的E-xtra Design MultiBranch内脏移植.
在现实环境中分析临床指示,技术方面和手术内结果.
专注于复杂的腹腔大动脉动脉瘤 (AAA) 修复.

主要成果:

无论是E-nside还是E-xtra设计的多分支内脏移植都在复杂的大动脉动脉瘤修复中证明了安全性.
现成的E-nside系统因快速可用性而更适合紧急情况.
定制移植导致大动脉覆盖率降低,而两种类型的辐射暴露在两种类型之间是可比的.

结论:

无论是现成的还是定制的内脏移植都是复杂的大动脉动脉瘤修复的安全选择.
由于E-nside的可用性,它有利于紧急复杂的大动脉动脉瘤干预.
定制在大动脉覆盖方面提供了好处,但整体辐射暴露仍然相似.

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