管理晚期TEVAR迁移使用小说分支内移植:第一次西方经验
Antonio Marzano1, Giovanni Gagliardo di Carpinello1, Francesca Palombo1
1Vascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
JACC. Case reports
|February 21, 2026
概括
胸内血管大动脉修复 (TEVAR) 的晚期迁移可能导致内脏泄漏. 克拉托斯支架移植成功地治疗了一种复杂的TEVAR迁移病例和一个曲的大动脉中的Ia型内孔.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 胸内血管大动脉修复 (TEVAR) 的晚期远部迁移是一个具有挑战性的并发症.
- 它可以导致Ia型内皮泄漏,特别是在复杂的大动脉重建后.
研究的目的:
- 报道了西方首次使用克拉托斯支架移植的情况.
- 为了证明其在治疗TEVAR迁移和Ia型内泄症的有效性,在患有形大动脉的患者中.
主要方法:
- 一名76岁的女性,先前曾经接受过TEVAR治疗胸腔腹腔大动脉动脉瘤,经历了近端TEVAR迁移和Ia型内泄.
- 使用克拉托斯支架移植进行了近端再接线,保留了左下关节动脉.
主要成果:
- 克拉托斯支架移植使得分支的准确对齐和安全的近接密封成为可能.
- 血管造影证实了正确的定位,分支通透性,并在1个月后没有内脏泄漏.
结论:
- 这个案例代表了克拉托斯支架移植的首次西方植入和首次在动脉瘤疾病中使用.
- 克拉托斯系统在曲的解剖学上表现出了比卡斯托尔系统的技术优势.
- 它可能为复杂的近端胸部重新覆盖提供扩展的内血管选择.
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