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中华普通外科学文献(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 325 -329. doi: 10.3877/cma.j.issn.1674-0793.2024.05.002

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原位开窗技术在主动脉弓部病变胸主动脉腔内修复术中的应用
彭智猷1, 叶开创1, 陆信武1,()   
  1. 1. 200011 上海交通大学医学院附属第九人民医院血管外科 上海交通大学血管病诊治中心
  • 收稿日期:2024-05-07 出版日期:2024-10-01
  • 通信作者: 陆信武

Application of in-situ fenestration in thoracic endovascular aortic repair

Zhiyou Peng, Kaichuang Ye, Xinwu Lu()   

  • Received:2024-05-07 Published:2024-10-01
  • Corresponding author: Xinwu Lu
引用本文:

彭智猷, 叶开创, 陆信武. 原位开窗技术在主动脉弓部病变胸主动脉腔内修复术中的应用[J]. 中华普通外科学文献(电子版), 2024, 18(05): 325-329.

Zhiyou Peng, Kaichuang Ye, Xinwu Lu. Application of in-situ fenestration in thoracic endovascular aortic repair[J]. Chinese Archives of General Surgery(Electronic Edition), 2024, 18(05): 325-329.

随着主动脉移植物及腔内技术的发展,胸主动脉疾病的治疗已逐渐从创伤较大、恢复周期较长的开放手术转向微创化、恢复周期短的胸主动脉腔内修复术(thoracic endovascular aortic repair,TEVAR),该技术已被越来越多地推荐用于不适合进行开放手术的患者[1]。然而,累及主动脉弓的病变仍然是TEVAR的难点。主动脉弓病变累及范围广泛,常伴随弓型复杂、分支动脉开口异常及扭曲等情况,而在主动脉支架植入过程中为了获得较为理想的锚定区,可能遮盖一支甚至多支重要分支动脉开口,从而造成弓部分支动脉(头臂干动脉、左颈总动脉及左锁骨下动脉)血流中断,导致脑卒中等严重并发症。

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