Y型支架交会治疗症状性无名动脉狭窄。

IF 1.2 Q4 CLINICAL NEUROLOGY
Neurointervention Pub Date : 2022-03-01 Epub Date: 2022-02-14 DOI:10.5469/neuroint.2021.00472
Goran Mitreski, Hamed Asadi, Mark Duncan Brooks
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引用次数: 0

摘要

一位60多岁男性,因A型主动脉夹层,在主动脉弓支移植修复5年后出现短暂性脑缺血发作。计算机断层血管造影显示80%的头臂动脉狭窄,靠近右侧颈总动脉和锁骨下动脉的起源。我们在多学科主动脉会议上回顾了该病例,并制定了血管内治疗计划。经皮Y型血管内支架从无名动脉进入左颈总动脉和锁骨下动脉,采用自膨胀镍钛诺支架和会合技术,包括右桡动脉逆行入路、右颈外动脉逆行入路和右股动脉逆行入路。6个月复查时,支架仍然广泛通畅,患者无症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Y Stent Rendezvous to Treat Symptomatic Innominate Artery Stenosis.

Y Stent Rendezvous to Treat Symptomatic Innominate Artery Stenosis.

Y Stent Rendezvous to Treat Symptomatic Innominate Artery Stenosis.

Y Stent Rendezvous to Treat Symptomatic Innominate Artery Stenosis.

A male in his 60s presented with transient ischemic attacks 5 years after aortic arch branch graft repair for type A aortic dissection. Computed tomographic angiography demonstrated 80% stenosis of the brachiocephalic artery close to the origins of the right common carotid and subclavian arteries. The case was reviewed at our multidisciplinary aortic meeting and a plan for endovascular management was made. Percutaneous endovascular Y stenting from the innominate artery into the left common carotid and subclavian arteries was achieved using self-expanding nitinol stents with a rendezvous technique that included retrograde right radial artery, retrograde right external carotid artery, and retrograde right femoral arterial approaches. At 6 months review, the stents remained widely patent and the patient was symptom-free.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
34
审稿时长
12 weeks
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