Stented elephant trunk procedure for an extensive aneurysm involving distal aortic arch and descending aorta
Stented elephant trunk procedure for an extensive aneurysm involving distal aortic arch and descending aorta
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DOI：
10.1016/s0022-5223(96)70157-5
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发表时间：
1996-11-01
影响因子：
6
通讯作者：
Sakuma, M
中科院分区：
文献类型：
--
作者：
Suto, Y;Yasuda, K;Sakuma, M
讨论自从 Borst、Walterbusch 和 Schaps 1 于 1983 年推出象鼻技术以来，该技术已广泛用于分期主动脉置换术。 2, 3, 4 此外，这些调查人员报告了一例，长象鼻周围的死腔充满了凝块，不需要进一步手术。 2 作者强调这种现象是该技术的进一步潜在用途。 Crawford 及其同事 3 报告了该方法的并发症：移植物扭结和闭塞、移植物周围凝块导致的截瘫以及拍打动作引起的外周血栓栓塞。他们表示，当躯干较长时，这些并发症的可能性更大。
DiscussionSince Borst, Walterbusch, and Schaps 1 introduced the elephant trunk technique in 1983 this technique has been widely used for staged aortic replacement. 2, 3, 4 In addition, these investigators reported one case in which the dead space around the long elephant trunk was filled with clot and further operation was not needed. 2 The authors highlighted this phenomenon as a further potential use of this technique. Crawford and associates 3 reported complications of this method: kinking and occlusion of the graft, paraplegia as a result of clot around the graft, and peripheral thromboembolism caused by flapping action. They stated that these complications were more likely when the trunk was longer.