Novel Technique for Intentional Occlusion of Directional Branches During Complex Endovascular Aortic Repair Using Microvascular Plugs.

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE Vascular and Endovascular Surgery Pub Date : 2024-01-01 Epub Date: 2023-07-19 DOI:10.1177/15385744231191234

Andrea Xodo, Jacopo Taglialavoro, Sandro Lepidi, Fabio Pilon, Cristiano Calvagna, Filippo Griselli, Domenico Milite, Giovanni Badalamenti, Barbara Ruaro, Mario D'Oria

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Abstract

Purpose: To demonstrate the feasibility and outcomes of using the microvascular plug (MVP) for intentional occlusion of directional branches (DB) during complex endovascular aortic procedures.

Case report: Two patients were treated with the off-the-shelf four-branched Zenith t-Branch thoracoabdominal stent-graft (Cook Medical, Bloomington, Ind). In both cases, the renal arteries (on one side in patient #1 and on both sides in patient #2, respectively) were occluded at time of index intervention. Preoperative planning included the intentional occlusion of each DB with one 7Q-MVP. Technical success was achieved in all cases and maintained at mid-term follow-up (12 months and 36 months, respectively).

Conclusions: Use of the MVP appears to be feasible and effective for intentional occlusion of DB during complex endovascular aortic repair. This novel and simple technique may present some unique technical advantages, allowing precise placement of the device while avoiding extension using a bridging stent and DB cannulation with larger sheaths.

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微血管塞在复杂血管内主动脉修复中故意阻断定向分支的新技术。

目的:探讨在复杂的血管内主动脉手术中使用微血管塞(MVP)故意闭塞定向分支(DB)的可行性和结果。病例报告:2例患者接受了现成的四支Zenith t支胸腹支架移植(Cook Medical, Bloomington, Ind)。在这两种情况下，肾动脉(患者1为单侧，患者2为双侧)在指数干预时被阻塞。术前计划包括用7Q-MVP有意闭塞每个DB。所有病例均取得技术上的成功，并在中期随访(分别为12个月和36个月)中保持成功。结论:在复杂的血管内主动脉修复过程中，使用MVP对于故意闭塞DB似乎是可行和有效的。这种新颖而简单的技术可能具有一些独特的技术优势，可以精确放置设备，同时避免使用桥接支架和具有较大鞘的DB插管。

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 and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).