Preservation of aortic arch branches using chimney and sandwich stent grafts.
Preservation of aortic arch branches using chimney and sandwich stent grafts.
复制标题
使用烟囱式和夹层覆膜支架保存主动脉弓分支。
DOI：
10.3400/avd.cr.11.00056
复制
发表时间：
2012
影响因子：
0.8
通讯作者：
S. Higashi
中科院分区：
文献类型：
--
作者：
H. Mitsuoka;T. Shintani;Takaaki Saito;Togo Norimatsu;S. Higashi
目的
分享我们使用烟囱或夹心支架治疗急性主动脉弓病变的混合血管内治疗经验。
方法
报告了一例远端主动脉瘤和一例升主动脉吻合口主动脉瘤破裂的混合手术治疗。分别定位右至左颈总动脉和左腋动脉搭桥术。覆膜支架置入冠状动脉，血流近端位于升主动脉(标准烟囱)或降主动脉支架移植物(逆行夹心)。
结果
这两个病例都没有脑缺血的迹象。动脉瘤的大小正在缩小。
结论
烟囱和夹层技术在复杂和紧急的情况下在技术上是可行的。
PURPOSE
To share our hybrid endovascular experiences using chimney or sandwich stent grafts for acute aortic arch pathologies.
METHODS
Hybrid procedures for a distal aortic arch aneurysm and an ascending anastomotic aortic aneurysm rupture were reported. Right to left common carotid and left axillar artery bypasses were located. Covered stents were inserted into the inominate artery, with the flow-proximal end located in the ascending (standard chimney) or the descending aortic stent graft (retrograde sandwich).
RESULTS
Both cases had no signs of brain ischemia. Aneurysms are decreasing in size.
CONCLUSION
Chimney and sandwich techniques were technically feasible in the complex and acute situations.