文章摘要

胸主动脉腔内修复术中原位开窗重建左锁骨下动脉

作者: 1王伟, 1欧阳洋, 1吴科敏, 1杨璞, 1蔡舟, 1王宪伟, 1刘光强, 2李刚, 2黄建华
1 中南大学湘雅医院血管外科，湖南 长沙 410008
2 中南大学湘雅医院介入科，湖南 长沙 410008
通讯: 黄建华 Email: huangjianhua@medmail.com.cn
DOI: 10.3978/.10.3978/j.issn.1005-6947.2015.12.003

摘要

目的：探索一种新的安全有效全腔内重建左锁骨下动脉（LSA）的方法。 方法：针对2 例胸主动脉腔内修复术中需要重建LSA 的患者，采用目前市售的介入器材并改进，先释 放胸主动脉覆膜支架覆盖LSA，再于LSA 开口处行体内穿刺破膜、球囊扩张并置入左锁骨下动脉支架， 原位开窗重建LSA。 结果：患者2 例均取得技术成功，主体支架无移位，无内漏；重建的LSA 通畅，无内漏。 结论：原位开窗的方法可以有效的重建LSA，长期疗效有待进一步随访。
关键词： 动脉瘤，夹层 腔内修复 原位开窗

Endovascular left subclavian artery reconstruction via fenestration in situ during thoracic endovascular repair

Authors: 1WANG Wei, 1OUYANG Yang, 1WU Kemin, 1YANG Pu, 1CAI Zhou, 1WANG Xianwei, 1LIU Guangqiang, 2LI Gang, 2HUANG Jianhua
1 Department of Vascular Surgery, Xiangya Hospital, Central South University, Changsha 410008, China
2 Department of Interventional Radiology, Xiangya Hospital, Central South University, Changsha 410008, China

CorrespondingAuthor:HUANG Jianhua Email: huangjianhua@medmail.com.cn

Abstract

Objective: To explore an innovative approach for left subclavian artery (LSA) reconstruction during thoracic endovascular repair. Methods: In two cases of thoracic endovascular repair requiring LSA reconstruction via fenestration in situ, a commercially available device and equipment were employed. Results: All cases achieved technical success without endoleak or stent graft migration. Conclusion: Fenestration in situ is an effective method for endovascular LSA reconstruction. However, the long term clinical outcome awaits further follow-up.
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