Accurate Embolization for Endoleak after F-TEVAR of Thoracic Aortic Dissection by Detachable Coils.

IF 1 4区医学 Q4 PERIPHERAL VASCULAR DISEASE Vascular Pub Date : 2024-12-01 Epub Date: 2023-08-01 DOI:10.1177/17085381231154354

Tianze Xu, Yi Jin, Tao Tang, Yuanhao Tong, Chen Liu, Tong Qiao, Min Zhou, Tong Yu, Wei Wang, Ming Zhang, Feng Ran, Changjian Liu, Chao Wang, Yinhuan Shi, Wendong Li, Xiaoqiang Li, Zhao Liu

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Abstract

Objectives: To evaluate the efficacy and clinical outcomes of accurate embolization of endoleaks after fenestrated thoracic endovascular aortic repair (F-TEVAR) for thoracic aortic dissections.

Methods: Twenty patients with endoleaks (17 type I and 3 type II) after fenestrated thoracic endovascular aortic repair (F-TEVAR) were embolized using detachable and ordinary coils. We assessed the success rate and complications of the operation, and its effects, through clinical and CT follow-up.

Results: The mean clinical follow-up duration was 25.68 ± 11.07 months (3-44 months). During follow-up, all endoleaks were completely embolized and aortic remodeling was improved. Secondary endoleaks occurred in four patients who were embolized twice. No other complications or death were reported.

Conclusion: Embolization using detachable and ordinary coils is effective and safe for the treatment of endoleaks after fenestrated thoracic endovascular aortic repair.

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用可拆卸线圈为胸主动脉夹层 F-TEVAR 术后的内漏进行精确栓塞

目的评估对胸主动脉夹层进行开窗胸腔内血管主动脉修复术（F-TEVAR）后内漏进行精确栓塞的疗效和临床结果：我们使用可拆卸线圈和普通线圈对20例进行了栓塞治疗（17例I型，3例II型）。我们通过临床和 CT 随访评估了手术的成功率、并发症及其影响：平均临床随访时间为（25.68 ± 11.07）个月（3-44 个月）。随访期间，所有内漏均被完全栓塞，主动脉重塑得到改善。有四名患者发生了二次内膜栓塞，他们被栓塞了两次。没有其他并发症或死亡报告：结论：使用可拆卸线圈和普通线圈栓塞治疗胸腔主动脉瓣修复术后的内漏既有效又安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular 医学-外周血管病

CiteScore

2.30

自引率

9.10%

发文量

196

审稿时长

6-12 weeks

期刊介绍： Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.