内支逆行插管与 E 型内支支架移植治疗胸腹主动脉瘤的早期经验。

IF 1.7 2区 医学 Q3 PERIPHERAL VASCULAR DISEASE
Journal of Endovascular Therapy Pub Date : 2024-12-01 Epub Date: 2023-04-08 DOI:10.1177/15266028231163067
Giovanni Spinella, Bianca Pane, Alice Finotello, Martina Bastianon, Jorge Miguel Mena Vera, Sara Di Gregorio, Giovanni Pratesi
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引用次数: 0

摘要

目的:我们的研究旨在探讨使用带内分支(IB)装置逆行插管进行胸腹主动脉瘤(TAAAs)血管内治疗的可行性:对接受血管内治疗的 TAAAs 患者使用 IB 配置逆行插管进行了回顾性分析:2020年9月至2021年11月期间,7名患者接受了带逆行插管的IB血管内治疗。平均年龄为 80.4 岁,4 名患者为男性。在28条目标血管中,共有26条通过逆行入路插管,技术成功率为93%(26条目标血管中有2条)。术中观察到两例并发症(1 例肾动脉夹层,1 例侧肾动脉破裂)。在 28 条接受治疗的血管中,共有 26 条是逆行插管,技术成功率为 93%。共使用了 39 个支架桥(均为 Viabahn VBX 设备)。手术平均持续时间为 321±102 分钟,平均扫描时间为 134±62 分钟。1 例患者在 30 天后死亡。在随访期间,观察到 1 例支架桥闭塞,无需再次介入:结论:逆行插管也可成功用于内支病例:临床影响:在内侧分支病例中,逆行插管应在特殊情况下予以考虑,否则可能成为首选方案。可转向导管和最新一代覆盖支架等专用血管内材料是治疗成功的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early Experience of Inner Branch Retrograde Cannulation With E-nside Branch Stent Graft for Thoracoabdominal Aortic Aneurysms.

Purpose: The aim of our study is to investigate the feasibility of retrograde cannulation using devices with inner branches (IB) for the endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs).

Materials and methods: A retrospective analysis using IB configuration with retrograde cannulation was carried out on TAAAs patients undergoing endovascular treatment.

Results: Seven patients underwent IB endovascular treatment with retrograde cannulation between September 2020 and November 2021. The mean age was 80.4 years and 4 patients were male. A total of 26 of 28 target vessels were cannulated by retrograde access with a technical success of 93% (2 of 26 target vessels). Two intra-procedural complications were observed (1 renal artery dissection and 1 collateral renal artery rupture). In total, 26 of 28 treated vessels were retrograde cannulated with a technical success of 93%. A total of 39 stent bridges were used (all Viabahn VBX devices). The mean duration of the procedure was 321±102 minutes, and the mean scan time was 134±62 minutes. Mortality at 30 days was observed in 1 case. During the follow-up, 1 stent bridge occlusion was observed without the need for reintervention.

Conclusion: Retrograde cannulation can also be successfully performed in the case of inner branches.

Clinical impact: In inner branched cases, retrograde cannulation should be taken into consideration in particular cases or it could become the option of choice. Dedicated endovascular material available such as steerable catheters and latest generation covered stents is fundamental for the success of the treatment.

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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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