外科理论与实践2017，Vol.22Issue(4)：316-321,6.DOI:10.16139/j.1007-9610.2017.04.010
胸主动脉腔内修复应用原位开窗保留弓上分支动脉技术
In situ fenestration to preserve supra-aortic branch during thoracic endovascular aortic repair
向一郎 1吴子衡 1李栋林 1田路 1何杨燕 1商弢 1张鸿坤1
作者信息
- 1. 浙江大学医学院附属第一医院血管外科, 浙江 杭州 310003
- 折叠
摘要
Abstract
Objective To summarize experience of in situ fenestration techniques during thoracic endovascular aortic repair (TEVAR) preserving supra-aortic branch vessels. Methods A total of 15 patients underwent TEVAR with an in situ stent graft fenestration technique from July 2016 to February 2017 in our hospital. Results All of the TEVAR procedures were completed successfully. Of the 23 target vessels, 21 vessels were successfully reconstructed using in situ fenestration with the success rate 91.3%. Three cases underwent in situ fenestration of brachiocephalic artery, left common carotid artery and left subclavian artery simultaneously. The operative time was (550.0 ±155.6) mins. Two patients had in situ fenestration of left common carotid artery and left subclavian artery during (405.0 ±275.8) mins. Ten cases were done only left subclavian artery with (175.0±43.5) mins. One case of external iliac artery injury was found during operation and 1 case with cerebral infarction postoperatively. There was no peri-operative death. The length of stay was(15.3±4.3) (8-26) days. No symptom was found for all patients during the follow-up of (3.1±2.0) (1-7) months. Thirteen patients performed CTA examination and disease progression was not present. All the branch stent grafts were patent without endoleak or any other stent-associated complications. Conclusions In situ fenestration techniques could be used effectively and safely so as to enlarge the indication of TEVAR in the treatment of aortic disease with minimal invasion.关键词
动脉瘤,夹层/支架/主动脉弓/腔内修复术/原位开窗Key words
Aneurysm/dissection/Stenting/Aortic arch/Endovascular repair/In situ fenestration分类
医药卫生引用本文复制引用
向一郎,吴子衡,李栋林,田路,何杨燕,商弢,张鸿坤..胸主动脉腔内修复应用原位开窗保留弓上分支动脉技术[J].外科理论与实践,2017,22(4):316-321,6.
