Shrinkage of excluded aneurysmal spaces: the excellent results of endovascular stent grafting through the aortic arch for distal arch aneurysm.
Shrinkage of excluded aneurysmal spaces: the excellent results of endovascular stent grafting through the aortic arch for distal arch aneurysm.
复制标题
缩小排除的动脉瘤空间：经主动脉弓血管内支架移植治疗远端弓形动脉瘤的优异效果。
DOI：
10.1067/mtc.2001.115234
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
K. Orihashi
中科院分区：
文献类型：
--
作者：
M. Watari;T. Sueda;O. Ishii;K. Imai;S. Hidenori;H. Sakai;H. Wada;K. Okada;K. Orihashi
经腹主动脉弓血管内支架植入术治疗远端弓部动脉瘤具有不需远端吻合、出血少、手术时间短等优点，与传统手术修复方法相比，具有创伤小的优点。经主动脉弓血管腔内支架植入术治疗远端弓部动脉瘤首先由Kato及其同事报道。4我们的方法与他们的方法基本相似，但在区域上进行了修改，以避免脑梗塞、截瘫和内漏等并发症。1、2、3原则上采用常温体外循环，经食道超声心动图有多种应用。
DiscussionEndovascular stent grafting through the aortic arch for distal arch aneurysm has the following merits: a distal anastomosis is unnecessary, and there is a decrease in the bleeding and operation time, which leads to a less invasive operation compared with conventional surgical repair. Endovascular stent grafting through the aortic arch for a distal arch aneurysm was first reported by Kato and colleagues. 4 Our procedure is basically similar to their method, but it has been modified in area to avoid complications, such as cerebral infarction, paraplegia, and endoleak. 1, 2, 3 In short, a normograde extracorporeal circulation is adopted in principle, and transesophageal echocardiography is used in many ways.