Aldin Malkoc MD , Daniel L. Burke BS , Iden Andacheh MD
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引用次数: 0
摘要
B 型主动脉夹层具有大的入口撕裂、假腔和环形夹层等高风险特征,如果不进行明确的手术干预,病情恶化和破裂的几率更大。传统的胸腔内主动脉血管修补术治疗近端 1 区着床的夹层,需要对主动脉弓进行广泛的去支,以最大限度地降低内移植物植入后发生缺血性中风的风险。用于胸腔内主动脉修复的血管内移植物的最新发展使我们能够在具有挑战性的病例中采用优化的方法。我们介绍了一例 53 岁男性患者的病例,他患有环形 B 型主动脉夹层和较高风险特征,我们对他进行了分期右至左颈动脉搭桥术,随后使用 GOREⓇ TAGⓇ 胸腔分支内支架进行胸腔内主动脉修复术,用于 1 区近端着床。
Management and follow-up of patient with circumferential type B aortic dissection using GORE thoracic-branch endograft
Type B aortic dissection with high-risk features such as a large entry tear, false lumen, and circumferential dissection has a greater chance of progression and rupture without definitive surgical intervention. Traditional thoracic endovascular aortic repair of dissection with proximal zone 1 landing requires extensive aortic arch debranching to minimize the risk of ischemic stroke with endograft deployment. Recent developments in endovascular grafts for thoracic endovascular aortic repair have allowed for an optimized approach in challenging cases. We present the case of a 53-year-old male with circumferential type B aortic dissection and higher-risk features treated with a staged right-to-left carotid bypass and subsequent thoracic endovascular aortic repair with a GOREⓇ TAGⓇ Thoracic Branch Endoprosthesis for zone 1 proximal landing.
期刊介绍:
The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.