Re-TEVAR in treatment of stent graft-induced new entry between two non-overlapping stent-grafts: a case report.
Re-TEVAR in treatment of stent graft-induced new entry between two non-overlapping stent-grafts: a case report.
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重新研究支架移植物引起的两个非重叠支架接枝之间的新进入：病例报告。
DOI：
10.1186/s13019-020-01359-w
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发表时间：
2020-10-15
影响因子：
1.6
通讯作者：
Zhou H
中科院分区：
文献类型：
--
作者：
He Y;Tang S;Zhang Y;Liu J;Zhou H
主动脉夹层覆膜支架治疗后的主动脉疾病进展涉及覆膜支架诱导新入路（SINE）的潜在风险。胸主动脉腔内修复术（TEVAR）术后早期可能发生严重并发症，应引起高度警惕。因此，主动脉疾病专用覆膜支架的开发将有助于在SINE患者中实现积极的患者结局。然而，两个非重叠覆膜支架之间的SINE极为罕见。我们报告一位59岁男性病人，因突发胸痛4小时而入院。多探测器计算机断层扫描（MDCT）显示在两个非重叠覆膜支架之间形成了一个巨大的正弦。进行了再次TEVAR手术，患者恢复良好。通过再TEVAR手术治疗的两个非重叠覆膜支架之间的SINE是可选的和可行的。近、中期随访结果满意。
Progress of the aortic disease after the stent graft treatment of aortic dissection implicates the potential risks of stent graft-induced new entry (SINE). Although rarely reported, it should be vigilant in patients who might incur serious complication in early period after the thoracic endovascular aortic repair (TEVAR). Thus, the development of aortic disease-specific stent grafts would assist in achieving positive patient outcomes when suffering SINE. However, it is an extremely rare for SINE between two non-overlapping stent-grafts. We here reported a 59-year-old male patient with sudden onset of chest pain for 4 h. Multi-detector computed tomography (MDCT) revealed a huge SINE formed between two non-overlapping stent-grafts. The re-TEVAR surgery was performed and the patient experienced a good recovery. The SINE between two non-overlapping stent-grafts treated by re-TEVAR operation was alternative and feasible. The short-term and medium-term follow-up results were satisfactory.
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