Impact of System-F in Delivering Vascular Plugs for Aortic Side Branch Embolization During Endovascular Aneurysm Repair.

IF 1.7 2区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Endovascular Therapy Pub Date : 2025-04-01 Epub Date: 2023-06-21 DOI:10.1177/15266028231179422

Takahiko Mine, Shinpei Ikeda, Shohei Mizushima, Seigoh Happoh, Yukiko Takashi, Ryutaro Fujitsuna, Tatsuo Ueda, Yasuhiro Kawase, Masahiro Fujii, Shin-Ichiro Kumita

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引用次数: 0

Abstract

Purpose: This study aimed to illustrate the utility of our original system to deliver vascular plugs into aortic side branches during endovascular aneurysm repair (EVAR).

Technique: Our device, which we named "System-F," consists of a 14 Fr sheath, a 12 Fr long sheath with a side hole, a stiff guidewire as a shaft, and a parallelly-inserted delivery catheter navigated through the side hole into the aneurysm sac. Vertical motion and horizontal rotation of the side hole allow multidimensional movement of the delivery catheter within the aneurysm. This system was applied in 7 cases undergoing EVAR; 4 inferior mesenteric arteries and 14 lumbar arteries were embolized using vascular plugs. Type II endoleak (T2EL) was not observed in the follow-up survey of any case.

Conclusion: The applicability of System-F for vascular plug placement in the side branches of abdominal aortic aneurysms has the potential to achieve high delivery capability and be widely applied for the prevention of T2EL.Clinical ImpactSystem-F has potential to change the strategies of pre-EVAR embolization.

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系统- f在血管内动脉瘤修复术中主动脉侧分支栓塞输送血管塞中的作用。

目的:本研究旨在说明我们的原始系统在血管内动脉瘤修复(EVAR)中向主动脉侧分支输送血管塞的效用。技术:我们的设备，我们命名为“System-F”，包括一个14fr的鞘，一个12fr的带侧孔的长鞘，一个硬导丝作为轴，一个平行插入的输送导管通过侧孔进入动脉瘤囊。侧孔的垂直运动和水平旋转允许导管在动脉瘤内的多维运动。该系统应用于7例EVAR;应用血管栓栓塞4条肠系膜下动脉和14条腰椎动脉。在随访调查中未观察到II型内漏(T2EL)。结论:System-F系统应用于腹主动脉瘤侧支血管塞置入具有较高的输送能力，可广泛应用于T2EL的预防。临床影响:System-F有可能改变evar前栓塞策略。

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

Journal of Endovascular Therapy 医学-外科

CiteScore

5.30

自引率

15.40%

发文量

203

审稿时长

6-12 weeks

期刊介绍： The Journal of Endovascular Therapy (formerly the Journal of Endovascular Surgery) was established in 1994 as a forum for all physicians, scientists, and allied healthcare professionals who are engaged or interested in peripheral endovascular techniques and technology. An official publication of the International Society of Endovascular Specialists (ISEVS), the Journal of Endovascular Therapy publishes peer-reviewed articles of interest to clinicians and researchers in the field of peripheral endovascular interventions.