A modified technique for iliac artery branched endografting using a "tromboned" sheath.
A modified technique for iliac artery branched endografting using a "tromboned" sheath.
复制标题
使用“长号”鞘进行髂动脉分支内移植的改良技术。
DOI：
10.1016/j.jvs.2008.07.067
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发表时间：
2008
影响因子：
4.3
通讯作者：
E. Verhoeven
中科院分区：
文献类型：
--
作者：
I. F. Tielliu;C. Zeebregts;J. J. van den Dungen;E. Verhoeven
髂动脉分支器械（IBD）是唯一一种完全血管内选择，可保留髂内动脉血流，用于治疗髂动脉瘤或孤立性髂动脉瘤。该技术涉及使用两根平行导丝，包括留置的贯穿导丝和用于导入桥接覆膜支架的导丝。我们描述了一种使用“长号”鞘管（即，10F套管内的7F ANL 1）的技术，以增加交叉稳定性，并避免与在一个鞘管内使用平行导丝相关的问题。此外，IBD和髂内动脉起点之间的差距的减小可导致装置的更稳定的位置。
The iliac branched device (IBD) is the only totally endovascular option to preserve flow to the internal iliac artery for the treatment of aorto-iliac or solitary iliac artery aneurysms. This technique involves the use of two parallel guide wires, including the indwelling through-and-through wire and a wire to introduce the bridging stent-graft. We describe a technique which uses “tromboned” sheaths (ie, a 7F ANL 1 inside a 10F Balkin sheath) for increased cross-over stability and avoids problems associated with the use of parallel wires inside one sheath. In addition, reduction of the gap between the IBD and the origin of the internal iliac artery may result in a more stable position of the device.