The Current State of Physician-Modified Endovascular Grafts in Complex Abdominal Aortic Aneurysms

IF 2.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Pedro J.F. Neves MD , John J. Kanitra MD , Rafael D. Malgor MD, MBA , Mazin I. Foteh MD
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引用次数: 0

Abstract

Physician-modified endografts (PMEGs) for the treatment of complex abdominal aortic aneurysms and thoracoabdominal aortic aneurysms are a viable option. Other endovascular options include custom and off-the-shelf devices for fenestrated and branched endovascular aortic repair, parallel grafts, and in situ laser fenestration. The limitations of these devices include time to development, strict anatomic criteria, and durability regarding parallel grafts. PMEGs fill this void with perioperative and long-term outcomes similar to custom-made devices. Postdissection aneurysms also present a unique role for PMEGs given the added complexity with fixing these aneurysms and have been reported with good outcomes. Lastly, we discuss the approach to preoperative planning and the operative component of PMEGs in this brief review.
医生改良型血管内移植物在复杂腹主动脉瘤中的应用现状。
用于治疗复杂腹主动脉瘤和胸腹主动脉瘤的医生改良内移植物(PMEGs)是一种可行的选择。其他血管内方法包括定制和现成的栅栏和分支血管内主动脉修复装置、平行移植物和原位激光栅栏。这些设备的局限性包括开发时间、严格的解剖标准以及平行移植物的耐用性。PMEG 填补了这一空白,其围手术期和长期效果与定制设备相似。夹层后动脉瘤也为 PMEGs 提供了独特的作用,因为固定这些动脉瘤更加复杂,而且据报道效果良好。最后,我们在这篇简短的综述中讨论了 PMEG 的术前规划方法和手术部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Cardiology
American Journal of Cardiology 医学-心血管系统
CiteScore
4.00
自引率
3.60%
发文量
698
审稿时长
33 days
期刊介绍: Published 24 times a year, The American Journal of Cardiology® is an independent journal designed for cardiovascular disease specialists and internists with a subspecialty in cardiology throughout the world. AJC is an independent, scientific, peer-reviewed journal of original articles that focus on the practical, clinical approach to the diagnosis and treatment of cardiovascular disease. AJC has one of the fastest acceptance to publication times in Cardiology. Features report on systemic hypertension, methodology, drugs, pacing, arrhythmia, preventive cardiology, congestive heart failure, valvular heart disease, congenital heart disease, and cardiomyopathy. Also included are editorials, readers'' comments, and symposia.
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