Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2009
The arch and beyond: bare stents in the ascending aorta.
Клинический случайСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ferreira Marcelo, Lanziotti Luiz, Monteiro Marcelo, Abuhadba Giafar
Аннотация
PURPOSE: To describe the management of complications from an unsuccessful hybrid repair of an aortic arch aneurysm.
CASE REPORT: A 63-year-old man with acute type B dissection and retrograde dissection into the aortic arch underwent emergent hybrid repair, with partial debranching (ascending aorta to left carotid artery bypass) and proximal stent-graft deployment. At 3 months, computed tomography (CT) showed stent-graft migration, causing a large type I endoleak; flow through the patent left subclavian artery (LSA) caused a large type II endoleak. At a second operation, a bilateral subclavian-to-carotid transposition was performed; the LSA was ligated and a Zenith TX2 thoracic endograft was deployed to seal the leak. Recurrent type I endoleak a year later prompted the final endovascular solution: total supra-aortic vessel debranching, proximal stent-graft deployment, and the unprecedented use of bare Z stents in the ascending aorta. CT at 18 months confirmed stable stent-graft position and no endoleak.
CONCLUSION: Based on this initial experience, bare Z stents can be used to enhance proximal aortic stent-graft fixation and accommodation within the aortic arch.
CASE REPORT: A 63-year-old man with acute type B dissection and retrograde dissection into the aortic arch underwent emergent hybrid repair, with partial debranching (ascending aorta to left carotid artery bypass) and proximal stent-graft deployment. At 3 months, computed tomography (CT) showed stent-graft migration, causing a large type I endoleak; flow through the patent left subclavian artery (LSA) caused a large type II endoleak. At a second operation, a bilateral subclavian-to-carotid transposition was performed; the LSA was ligated and a Zenith TX2 thoracic endograft was deployed to seal the leak. Recurrent type I endoleak a year later prompted the final endovascular solution: total supra-aortic vessel debranching, proximal stent-graft deployment, and the unprecedented use of bare Z stents in the ascending aorta. CT at 18 months confirmed stable stent-graft position and no endoleak.
CONCLUSION: Based on this initial experience, bare Z stents can be used to enhance proximal aortic stent-graft fixation and accommodation within the aortic arch.