Lauren Cralle MD, Kathryn DiLosa MD, MPH, Steven Maximus MD
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引用次数: 0
摘要
胸腹主动脉近端曾进行过开孔血管内主动脉修复术,其变性是一个复杂的问题,且修复方案有限。以前,治疗的唯一选择是改良的内移植物或通过内移植物剥离进行开放式转换。在此,我们描述了使用戈尔胸腹腔多支内支架在先前放置的开孔装置近端发生变性的情况下排除 III 度胸腹腔动脉瘤的方法。
Endovascular repair with the Gore thoracoabdominal multibranch endoprosthesis for proximal degeneration after prior fenestrated endovascular aortic repair
Degeneration of the thoracoabdominal aorta proximal to a prior fenestrated endovascular aortic repair represents a complex issue with limited options for repair. Previously, modified endografts or open conversion with endograft explant offered the only options for management. Here we describe use of the Gore Thoracoabdominal Multibranch Endoprosthesis for exclusion of an extent III thoracoabdominal aneurysm in the setting of degeneration proximal to a previously placed fenestrated device.
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.