Progress on coverage and reconstruction of left subclavian artery in thoracic endovascular aortic repair
10.3760/cma.j.issn.1673-4203.2016.12.020
- VernacularTitle:主动脉腔内修复术封闭与重建左锁骨下动脉的研究进展
- Author:
Yilang XIANG
;
Hongkun ZHANG
- Keywords:
Aortic aneurysm,thoracic;
Left subclavian artery;
Endovascular repair;
Postoperative complication;
Review
- From:
International Journal of Surgery
2016;43(12):851-856
- CountryChina
- Language:Chinese
-
Abstract:
Coverage of the left subclavian artery is often necessary to establish an adequate landing zone in patients undergoing thoracic endovascular aortic repair,which can avoids endoleaks that contribute the important aspect of technical success of thoracic endovascular aortic repair.However,there have been controversial whether the routine revascularization of left subclavian artery benefits in preventing the complications in perioperative,like cerebrovascular accident,and which approach of revascularization should be taken for more advantages.In this review,the disputes have been discussed between the routine revascularization and selective revascularization of left subclavian artery based on clinic research published in recent years,and also introduce the progress in open surgery and endovascular technique of left subclavian artery revascularization.