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两种设备的适用性分析,用于在A型大动脉剖析手术后进行血管内大动脉门修复

Augusto D'Onofrio¹, Raphael Caraffa², Giorgia Cibin³

¹Department of Cardiac Surgery, Tor Vergata University Hospital, Rome, Italy.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

|March 10, 2026

概括

内血管大动脉门修复 (Ar-TEVAR) 适用于大约一半的A型急性大动脉剖析 (ATAAD) 修复后残留病理的患者. 手术因素往往限制了资格,这表明了优化未来内血管选择的策略.

科学领域:

心血管外科心血管外科
血管内干预血管内干预
大动脉动脉瘤修复修复

背景情况:

甲型急性大动脉解剖 (ATAAD) 通常需要手术修复.
在ATAAD手术后,残留的大动脉门病理可能会发生.
血管内大动脉门修复 (Ar-TEVAR) 是一种潜在的残留病理治疗方法.

研究的目的:

为了评估Ar-TEVAR使用分支器件在之前有ATAAD修复的患者中是否适合.
为了评估Ar-TEVAR与NEXUS和RelayBranch系统的可行性.
在ATAAD手术后确定影响Ar-TEVAR资格的因素.

主要方法:

对119名接受了ATAAD手术的患者进行了回顾性分析.
对NEXUS和RelayBranch设备的适用性进行CT扫描评估.
基于制造商规格的独立医生评估.

主要成果:

在49.6%的符合条件的患者中,Ar-TEVAR是可行的.
对Nexus的适用率为31.9%,对RelayBranch的适用率为35.3%.
不充分的近距离着陆区,通常是通过手术诱导的,是主要的资格不合格原因.

结论:

几乎一半的ATAAD患者是有分支器件的Ar-TEVAR候选人.
通过手术修改的因素经常影响Ar-TEVAR的资格.
优化手术技术可能会提高未来的内血管治疗选择.

关键词:

大动脉支架支架移植大动脉切割剖析.血管内主动脉门修复

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