用双胸支内膜修复 2 区胸支内膜后的 IA 型内漏

IF 0.7 Q4 SURGERY Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-09-26 DOI:10.1016/j.jvscit.2024.101641

Kenneth Han BA, Alyssa J. Pyun MD, Elizabeth Miranda MD, MPH, Fernando Fleischman MD, Sukgu M. Han MD, MS

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引用次数: 0

摘要

胸腔内主动脉修补术已成为降主动脉疾病的一线治疗方式。在胸腔内主动脉修补术中，通常需要覆盖主动脉弓分支以扩大近端密封区。胸腔分支内假体（TBE）是首个获得美国食品药品管理局批准的用于胸腔内血管修复的分支装置，可纳入左锁骨下动脉。2 区 TBE 术后的 IA 型内漏及其抢救方案尚未得到很好的描述。在本报告中，我们描述了两例 2 区 TBE 失败并伴有 IA 型内漏的病例，这些病例通过近端延伸 0 区 TBE 进行抢救，形成了夹层双 TBE 结构。本文讨论了该技术的技术考虑因素和局限性。

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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Double thoracic branch endoprosthesis to repair type IA endoleak after zone 2 thoracic branch endoprosthesis

Thoracic endovascular aortic repair has become the first-line treatment modality for descending thoracic aortic diseases. Coverage of the aortic arch branches is often required to extend the proximal seal zones during thoracic endovascular aortic repair. The thoracic branch endoprosthesis (TBE) is the first US Food and Drug Administration-approved branched device for thoracic endovascular repair allowing for incorporation of the left subclavian artery. Type IA endoleak after zone 2 TBE as well as its rescue options have not been well-described. In this report, we describe two cases of failed zone 2 TBE with a type IA endoleak, rescued with proximal extension zone 0 TBE to create a sandwiched double TBE configuration. Technical considerations as well as the limitations of this technique are discussed.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.