Clinical Study of a Physician Modified Y-Type Iliac Branch Device (PMYIBD) in the Endovascular Repair of Abdominal Aortic Aneurysms to Preserve the Internal Iliac Artery.

IF 1.7 2区 医学 Q3 PERIPHERAL VASCULAR DISEASE Journal of Endovascular Therapy Pub Date : 2024-12-01 Epub Date: 2023-04-17 DOI:10.1177/15266028231165185
Zihe Zhao, Yi Jin, Dongsheng Fu, Chen Liu, Tong Qiao, Xiaoqiang Li, Xia Gao, Zhao Liu
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引用次数: 0

Abstract

Objectives: To report the method and curative effect of using a physician modified Y-type iliac branch device (PMYIBD) to preserve the internal iliac artery during the endovascular repair of abdominal aortic aneurysms.

Methods: From September 2018 to April 2022, 24 patients with abdominal aortic aneurysms or dissecting aneurysms, including 19 true aneurysms and 5 dissecting aneurysms involving the common iliac artery were treated in our department. The average age was (65.3 ± 7.6) years. All patients underwent preoperative evaluation by enhanced computed tomography. Combined with intraoperative angiography, a Y-type stent graft was prepared during surgery to perform endovascular repair of abdominal aortic aneurysms.

Results: All operations were successfully completed. The average operative duration was (224.8 ± 44.1) minutes. A total of 24 internal iliac arteries were reconstructed. The average follow-up time was (27.1 ± 13.5) months. During the follow-up, there was no expansion of aneurysm cavity, no endoleak or stent displacement, and no death occurred in all patients.

Discussion: The physician-modified Y-type iliac branched device (PMYIBD) provides an effective method for full-cavity repair. It has a wide range of indications and convenience. According to follow-up results, the early and mid-term had good curative effects; however, the long-term effects require further follow-up.

Conclusion: The modified Y-type IBD technique is safe and effective for aortic diseases involving internal iliac artery especially with complex anatomy.

Clinical impact: It is meaningful to preserve the IIA during EVAR. The use of PMYIBD provides a simple and effective method for the total endovascular repair of aortic diseases involving the IIA. Several advantages such as minimal trauma, low mortality, low complication rates and perfect short- and medium-term effects emerge in clinical practice. PMYIBDs are good choices for clinicians before suitable commercial stents are available in markets.

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保留髂内动脉的腹主动脉瘤血管内修复术中医生改良 Y 型髂支装置 (PMYIBD) 的临床研究。
目的报告在腹主动脉瘤血管内修复过程中使用医生改良Y型髂支装置(PMYIBD)保留髂内动脉的方法及疗效:2018年9月至2022年4月,我科收治了24例腹主动脉瘤或夹层动脉瘤患者,其中19例为真性动脉瘤,5例为涉及髂总动脉的夹层动脉瘤。平均年龄为(65.3 ± 7.6)岁。所有患者术前都接受了增强型计算机断层扫描评估。结合术中血管造影,手术中准备了Y型支架移植物,对腹主动脉瘤进行血管内修复:所有手术均顺利完成。平均手术时间为(224.8±44.1)分钟。共重建了 24 条髂内动脉。平均随访时间为(27.1 ± 13.5)个月。随访期间,所有患者均未出现动脉瘤腔扩大、内漏或支架移位,也未出现死亡:讨论:医生改良 Y 型髂支装置(PMYIBD)是一种有效的全腔修补方法。它适应症广泛,使用方便。根据随访结果,早期和中期疗效良好,但长期疗效还需进一步随访:结论:改良 Y 型 IBD 技术对于涉及髂内动脉的主动脉疾病,尤其是解剖结构复杂的主动脉疾病,安全有效:临床影响:在EVAR期间保留IIA是有意义的。使用 PMYIBD 为涉及 IIA 的主动脉疾病的全血管内修复提供了一种简单有效的方法。在临床实践中,它具有创伤小、死亡率低、并发症发生率低、中短期效果完美等优点。在合适的商业支架上市之前,PMYIBD 是临床医生的良好选择。
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来源期刊
CiteScore
5.30
自引率
15.40%
发文量
203
审稿时长
6-12 weeks
期刊介绍: The Journal of Endovascular Therapy (formerly the Journal of Endovascular Surgery) was established in 1994 as a forum for all physicians, scientists, and allied healthcare professionals who are engaged or interested in peripheral endovascular techniques and technology. An official publication of the International Society of Endovascular Specialists (ISEVS), the Journal of Endovascular Therapy publishes peer-reviewed articles of interest to clinicians and researchers in the field of peripheral endovascular interventions.
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