Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks
Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks
复制标题
DOI：
10.1016/j.jvs.2009.11.076
复制
发表时间：
2010-05-01
影响因子：
4.3
通讯作者：
Mayer, Dieter
中科院分区：
文献类型：
--
作者：
Rancic, Zoran;Pfammatter, Thomas;Mayer, Dieter
破裂的胸腹主动脉瘤的血管内动脉瘤修复术（EVAR）可能会受到影响，甚至不可能，因为近端和/或远端瘤颈或锚定区分别较短。主动脉上分支可能限制覆膜支架的近端锚定，内脏或肾动脉可能限制覆膜支架的远端锚定。虽然已经提出了克服短近端颈部问题的解决方案，但是还没有描述解决短远端颈部问题的技术。我们介绍了“潜望镜技术”，该技术允许使用大多数腹主动脉瘤腔内修复术中心已经储备的器械扩展远端锚定区并完成远端颈短的破裂胸腹动脉瘤的血管内治疗。（J Vasc Surg 2010;51：1293-6.）
Endovascular aneurysm repair (EVAR) of ruptured thoracoabdominal aortic aneurysms may be compromised or even impossible due to short proximal and/or distal necks or landing zones, respectively. Supra-aortic branches may limit the proximal anchorage and visceral or renal arteries the distal anchorage of endografts. While solutions have been proposed to overcome the problem of a short proximal neck, no technique has been described that solves the problem of a short distal neck. We present the "periscope technique," which allows extension of the distal landing zone and complete endovascular treatment of ruptured thoracoabdominal aneurysms with short distal necks using devices already stocked in most centers performing EVAR procedures. (J Vasc Surg 2010;51:1293-6.)