杂交胸腹主动脉瘤修补术后的临时动脉瘤囊灌注及文献综述

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-04-04 DOI:10.1016/j.avsurg.2024.100281

Yaman Alsabbagh, Young Erben, Santh Prakash Lanka, Biraaj Mahajan, Houssam Farres

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引用次数: 0

摘要

广泛的胸腹主动脉瘤（TAAA）修复术与脊髓缺血（SCI）引起的截瘫有关，其发生率高达 37.5%。生理预防措施包括在 TAAA 修复术后进行脑脊液（CSF）引流、低体温和允许性高血压。临时动脉瘤囊灌注（TASP）可作为一种辅助手术，通过内漏和随后的密封，促进术后脊柱侧支网络的发展。我们报告了一名 70 岁女性患者使用 TASP 接受混合 TAAA 修复术的情况。

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Temporary aneurysm sac perfusion following hybrid thoracic abdominal aortic aneurysm repair and literature review

Extensive thoracoabdominal aortic aneurysm (TAAA) repair is associated with paraplegia secondary to spinal cord ischemia (SCI), with rates reaching up to 37.5 %. Physiological preventive measures include cerebrospinal fluid (CSF) drainage, hypothermia, and permissive hypertension following TAAA repair. Temporary aneurysm sac perfusion (TASP) can be added as an adjunct procedure to facilitate spinal collateral network development in the post-operative period through an endoleak with subsequent seal. We report of a 70-year-old female patient, who underwent a hybrid TAAA repair using TASP.

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来源期刊

Annals of vascular surgery. Brief reports and innovations Surgery

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

62 days