用定制解决方案避免主动脉弓分支切除量身定制的主动脉疾病治疗方法

Daniele Linardi
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引用次数: 0

摘要

穿透性动脉粥样硬化溃疡(PAU)是急性主动脉综合征之一,是一种医疗和外科急症,可导致快速演变和严重并发症。根据 PAU 所涉及的主动脉截面,使用血管内假体进行治疗可能具有挑战性,通常需要个性化的假体来应对解剖上的特殊性。主动脉弓可能是最复杂的部位之一,因为它是主动脉上分支的发源地,而且之前或之后需要进行颈动脉-锁骨下旁路移植手术。扇形假体和栅栏假体的使用使主动脉病变的治疗成为可能,而无需进一步的血管手术。
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Avoiding Aortic Arch Debranching with a Custom-Made Solution a Tailored Approach to Aortic Disease
Penetrating Atherosclerotic Ulcer (PAU) is one of the acute aortic syndromes representing a medical and surgical emergency that could lead to rapid evolution and significant complications. Depending on the aortic section involved in the PAU, the treatment with endovascular prosthesis could be challenging and often requires personalized prosthesis to face anatomical peculiarities. The aortic arch could be one of the most complex locations due to the origin of supra-aortic branches and the need for previous or subsequent carotid-subclavian bypass grafting. The use of scalloped and fenestrated prostheses makes it possible to manage aortic pathology without further vascular surgery.
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