IF 1.7 2区 医学 Q3 PERIPHERAL VASCULAR DISEASE
Martina Bastianon, Davide Esposito, Caterina Melani, Endri Sila, Giuseppe Baldino, Giovanni Pratesi
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引用次数: 0

摘要

目的:血管内介入疗法已成为治疗复杂主动脉病变的主要选择,尤其是使用栅栏式和分支式内植物。然而,制造时间等限制因素制约了它们在紧急情况下的适用性。因此,我们开始探索其他现成的解决方案,包括原位栅栏术。在本技术说明中,我们将介绍使用电外科导丝进行原位栅栏术的技术方面,包括前行和逆行两种方法,并解释与其他原位栅栏术技术相比的优势和局限性:技术:该技术包括标准的主体内移植物部署,然后使用带电导丝进行有针对性的原位瓣膜穿刺。本文介绍了两个示例病例,以展示该手术的技术方面和临床效果:结论:电外科原位瓣膜切割术是紧急治疗复杂主动脉疾病的有效技术。临床影响:临床影响:电外科原位瓣膜置入术扩大了在紧急情况下进行复杂血管内修复的可行性。电外科原位瓣膜术结合了热疗方法的优点,具有广泛的可用性和较低的成本。与其他原位瘘管技术相比,该技术可以创建极小的瘘管,并将组织破坏降到最低、最精确。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Electrosurgical In Situ Fenestration of Aortic Endograft.

Purpose: Endovascular interventions have become the primary choice for treating complex aortic pathologies, particularly with the use of fenestrated and branched endografts. However, limitations, such as manufacturing time have restricted their applicability in urgent situations. This has led to explore alternative off-the-shelf solutions, including in situ fenestration. Within this technical note, we describe technical aspects of in situ fenestration using electrosurgical guidewire, in both antegrade and retrograde approaches, explaining advantages and limitation compared with other in situ fenestration techniques.

Technique: The technique involves standard main body endograft deployment followed by targeted in situ fenestration using an electrified guidewire. Two illustrative cases are presented to demonstrate the technical aspects and clinical outcomes of this procedure.

Conclusion: Electrosurgical in situ fenestration emerges as an effective technique for urgent treatment of complex aortic diseases. Further research is warranted to validate its safety and durability in larger patient cohorts.

Clinical impact: Electrosurgical in situ fenestration allows to expand the feasibility of complex endovascular repairs in emegency settings. Electrosurgical in situ fenestration combines the benefits of thermal methods, offering broad availability and lower costs. Compared to other in situ fenestration techniques, the proposed technology allows for the creation of extremely small fenestrations with minimal and precise tissue disruption.

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来源期刊
CiteScore
5.30
自引率
15.40%
发文量
203
审稿时长
6-12 weeks
期刊介绍: The Journal of Endovascular Therapy (formerly the Journal of Endovascular Surgery) was established in 1994 as a forum for all physicians, scientists, and allied healthcare professionals who are engaged or interested in peripheral endovascular techniques and technology. An official publication of the International Society of Endovascular Specialists (ISEVS), the Journal of Endovascular Therapy publishes peer-reviewed articles of interest to clinicians and researchers in the field of peripheral endovascular interventions.
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