A novel hybrid technique for the aneurysms at the aortic arch
- VernacularTitle:颈颈动脉转流加开窗型覆膜支架杂交术治疗主动脉弓部动脉瘤
- Author:
Jun ZHAO
- Publication Type:Journal Article
- Keywords:
Aortic Aneurysm,thoracic;
Angioplasty;
Stent;
Artificial vessel
- From:
Chinese Journal of Current Advances in General Surgery
2009;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the novel technique of carotid-carotid bypass combines with windowed stent-graft in the treatment of aneurysms at the aortic arch without thoracotomy. Methods:Firstly,a right to left common carotid artery bypass was established with a graft with rings.Then the stent-graft was windowed at the determined position.Finally,the stent-graft was deploied into the aortic arch to exclude the aneurysm with the anonyma maintained patent.Results: The grafts were patent,and no brain ischemia or cranial accident occurred.The left upper limbs maintained there function.The left common carotid artery and the left subclavian artery were sealed.The aneurysms were occluded.Conclusions:The technique is a suitable method for the arch aneurysm,and is mini-invasive which may avoid of macro-trauma,large volume of blood loss, and the unstable of the blood dynaminc statement resulting from thoracotomy.The lumen of the aneurysm is still occluded thoroughly,and the procedure is simplified.But only a veteran endovascular doctor may control it safely.
