夹层技术在升主动脉内支支架术后A型主动脉夹层血管内修复中的应用

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-01-15 DOI:10.1016/j.jvscit.2025.101735

Kosuke Ujihira MD, Reiko Kemmochi MD, Taiichiro Matsumoto MD, Noriyuki Tokunaga MD, PhD, Mitsuaki Matsumoto MD, PhD

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引用次数: 0

摘要

胸血管内主动脉修复术后A型主动脉夹层是危及生命的并发症。我们报告一例急性a型主动脉夹层，发生在0区支架移植与内科医生改良的内支在升主动脉。我们使用夹层技术进行了额外的血管内主动脉修复，其中包括在头臂动脉放置一个烟囱支架和在升主动脉放置一个缩短的外支架覆盖的主主动脉支架。该技术最大限度地减少了装置直径，防止了真正的管腔过度扩张，支架移植物有足够的重叠。

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Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta

Type A aortic dissection after thoracic endovascular aortic repair is a life-threatening complication. We present a case of acute type A aortic dissection that occurred after zone 0 stent grafting with a physician-modified inner branch in the ascending aorta. We performed additional endovascular aortic repair using the sandwich technique, which involved placing a chimney stent graft for the brachiocephalic artery and a main aortic stent graft covered by a shortened outer stent graft in the ascending aorta. This technique minimized device diameter, preventing over-dilatation of the true lumen, with sufficient overlap of the stent grafts.

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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.