2区弓置换术和完全性胸腔假体分阶段混合入路治疗急性逆行A型主动脉夹层。

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-02-01 DOI:10.1016/j.jvscit.2024.101663

Nabil Saouti MD, PhD , Guillaume S.C. Geuzebroek MD, PhD , Sjoerd F.M. Jenniskens MD , Robin H. Heijmen MD, PhD

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引用次数: 0

摘要

我们描述了一个逆行急性a型主动脉夹层的病例，采用混合的、分阶段的方法，包括2区弓置换和完成胸腔血管内主动脉修复手术，结合远端球囊辅助支架扩张，以防止逆行假腔流。与冷冻象鼻手术相比，这种技术可能是一种替代方法，而且更完整。此外，观察到整个胸主动脉的良好重塑。

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Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection

We describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen flow. This technique may be an alternative and more complete when compared with a frozen elephant trunk procedure at onset. Additionally, favorable remodeling of the entire thoracic aorta is observed.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.