Gore exuder胸腹支人工假体（TAMBE）的全经股入路，体外环移植物技术

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-12-25 DOI:10.1016/j.jvscit.2024.101717

Saurabh Gupta MD , Joshua Plant MD , Javaneh Jabbari MD , Arian Savadkohi , Shahab Toursavadkohi MD

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引用次数: 0

摘要

胸腹动脉瘤的全经股血管内修复是可行的医师改良的内移植物。我们介绍了我们的技术，专门提供戈尔排除胸腹支假体(W. L. Gore &；同事)经股动脉通路。在部分展开的胸腹支内假体装置外放置一个16fr可操纵护套，预载导线被单独诱骗，允许一个稳定的8fr同轴系统插管并将支架输送到目标血管。该技术避免了上肢通道，并保持了胸降主动脉内所有导线，允许在主动脉弓结构复杂的患者中植入，并潜在地降低中风风险。

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Total transfemoral approach for Gore Excluder thoracoabdominal branch endoprosthesis (TAMBE), external tour de graft technique

Total transfemoral endovascular repair of thoracoabdominal aneurysms is feasible with physician-modified endografts. We present our technique for exclusively delivering the Gore Excluder thoracoabdominal branch endoprosthesis (W. L. Gore & Associates) via transfemoral access. A 16 Fr steerable sheath is positioned outside the partially deployed thoracoabdominal branch endoprosthesis device, and the preloaded wires are individually snared, allowing for a stable 8 Fr coaxial system to cannulate and deliver stents to target vessels. This technique avoids upper extremity access and maintains all wires within the descending thoracic aorta, allowing implantation in patients with challenging aortic arch configurations and potentially mitigating stroke risk.

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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.