胸主动脉腔内修复术中原位开窗重建左锁骨下动脉  

Endovascular left subclavian artery reconstruction via fenestration in situ during thoracic endovascular repair

作　　者：王伟[1] 欧阳洋[1] 吴科敏 杨璞[1] 蔡舟[1] 王宪伟[1] 刘光强[1] 李刚[2] 黄建华[1] 

机构地区：[1]中南大学湘雅医院血管外科,湖南长沙410008 [2]中南大学湘雅医院介入科,湖南长沙410008

出　　处：《中国普通外科杂志》2015年第12期1654-1657,共4页China Journal of General Surgery

摘　　要：目的:探索一种新的安全有效全腔内重建左锁骨下动脉(LSA)的方法。方法:针对2例胸主动脉腔内修复术中需要重建LSA的患者,采用目前市售的介入器材并改进,先释放胸主动脉覆膜支架覆盖LSA,再于LSA开口处行体内穿刺破膜、球囊扩张并置入左锁骨下动脉支架,原位开窗重建LSA。结果:患者2例均取得技术成功,主体支架无移位,无内漏;重建的LSA通畅,无内漏。结论:原位开窗的方法可以有效的重建LSA,长期疗效有待进一步随访。Objective： To explore an innovative approach for left subclavian artery （LSA） reconstruction during thoracic endovascular repair. Methods： In two cases of thoracic endovascular repair requiring LSA reconstruction via fenestration in situ, a commercially available device and equipment were employed. Results： All cases achieved technical success without endoleak or stent graft migration. Conclusion： Fenestration in situ is an effective method for endovascular LSA reconstruction. However, the long term clinical outcome awaits further follow-up.

关 键 词：动脉瘤 夹层 腔内修复 原位开窗 

分 类 号：R654.3[医药卫生—外科学]