Balloon occlusion of the aorta during endovascular repair of ruptured abdominal aortic aneurysm
Balloon occlusion of the aorta during endovascular repair of ruptured abdominal aortic aneurysm
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DOI：
10.1583/05-1587.1
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发表时间：
2005-10-01
影响因子：
2.6
通讯作者：
Sonesson, B
中科院分区：
文献类型：
--
作者：
Malina, M;Veith, F;Sonesson, B
目的：介绍腹主动脉瘤破裂伴循环衰竭患者血管内动脉瘤修复术（EVAR）中的主动脉夹持技术。技术：从股动脉经皮插入球囊导管，在肾上主动脉充气。引入鞘必须支撑气球。支架移植物从对侧腹股沟穿过，部署在球囊下方。鞘使得在植入术完成后将球囊取出成为可能。当主动脉血流受阻时，二氧化碳有助于血管造影。结论：主动脉支架可以在经股动脉入路持续夹持主动脉的情况下展开。这可能允许因动脉瘤破裂导致循环衰竭的患者发生EVAR。
Purpose: To describe a technique of aortic clamping during endovascular aneurysm repair (EVAR) in patients with ruptured abdominal aortic aneurysms (AAA) and circulatory collapse.Technique: A balloon catheter is inserted percutaneously from the femoral artery and inflated in the suprarenal aorta. An introducer sheath must support the balloon. The stent-graft is passed from the contralateral groin and deployed beneath the balloon. The sheath makes it possible to retrieve the balloon after the endograft has been deployed. Carbon dioxide facilitates angiography while the aortic blood flow is arrested.Conclusions: The aortic stent-graft can be deployed while the aorta is continuously "clamped" from a transfemoral approach. This may allow EVAR in patients with circulatory collapse due to aneurysm rupture.