| 胸主动脉腔内修复术中原位开窗重建左锁骨下动脉 |
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| 引用本文： | 王伟,欧阳洋,吴科敏,杨璞,蔡舟,王宪伟,刘光强,李刚,黄建华. 胸主动脉腔内修复术中原位开窗重建左锁骨下动脉[J]. 中国普通外科杂志, 2015, 24(12): 1654-1657 |
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| 作者姓名： | 王伟 欧阳洋 吴科敏 杨璞 蔡舟 王宪伟 刘光强 李刚 黄建华 |
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| 作者单位： | （中南大学湘雅医院 1.血管外科 2.介入科，湖南 长沙 410008） |
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| 摘 要： | 目的:探索一种新的安全有效全腔内重建左锁骨下动脉(LSA)的方法。方法:针对2例胸主动脉腔内修复术中需要重建LSA的患者,采用目前市售的介入器材并改进,先释放胸主动脉覆膜支架覆盖LSA,再于LSA开口处行体内穿刺破膜、球囊扩张并置入左锁骨下动脉支架,原位开窗重建LSA。结果:患者2例均取得技术成功,主体支架无移位,无内漏;重建的LSA通畅,无内漏。结论:原位开窗的方法可以有效的重建LSA,长期疗效有待进一步随访。
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| 关 键 词： | 动脉瘤，夹层；腔内修复；原位开窗 |
| 收稿时间： | 2015-09-19 |
| 修稿时间： | 2015-11-17 |
Endovascular left subclavian artery reconstruction via fenestration in situ during thoracic endovascular repair |
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| WANG Wei,OUYANG Yang,WU Kemin,YANG Pu,CAI Zhou,WANG Xianwei,LIU Guangqiang,LI Gang,HUANG Jianhua. Endovascular left subclavian artery reconstruction via fenestration in situ during thoracic endovascular repair[J]. Chinese Journal of General Surgery, 2015, 24(12): 1654-1657 |
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| Authors: | WANG Wei OUYANG Yang WU Kemin YANG Pu CAI Zhou WANG Xianwei LIU Guangqiang LI Gang HUANG Jianhua |
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| Affiliation: | (1. Department of Vascular Surgery 2. Department of Interventional Radiology, Xiangya Hospital, Central South University, Changsha 410008, China) |
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| Abstract: | Objective: To explore an innovative approach for left subclavian artery (LSA) reconstruction during thoracic endovascular repair.Methods: In two cases of thoracic endovascular repair requiring LSA reconstruction via fenestration in situ, a commercially available device and equipment were employed. Results: All cases achieved technical success without endoleak or stent graft migration. Conclusion: Fenestration in situ is an effective method for endovascular LSA reconstruction. However, the long term clinical outcome awaits further follow-up. |
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| Keywords: | Aneurysm Dissecting Endovascular Repair Fenestration in Situ |
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