Current state and progress of left subclavian artery revascularization in thoracic endovascular aortic repair
10.3760/cma.j.cn115396-20211115-00439
- VernacularTitle:胸主动脉腔内修复术中左锁骨下动脉重建的现状及进展
- Author:
Wei XIE
1
;
Xichun QIN
;
Shuchun LI
;
Min JIN
;
Qing ZHOU
;
Dongjin WANG
;
Yunxing XUE
Author Information
1. 南京大学医学院附属鼓楼医院心胸外科，南京 210008
- Keywords:
Aortic diseases;
Subclavian artery;
Stents;
Thoracic endovascular aortic repair;
Revascularization
- From:
International Journal of Surgery
2022;49(7):499-504
- CountryChina
- Language:Chinese
-
Abstract:
Thoracic endovascular aortic repair has served as the predominant treatment approach for patients with thoracic aortic diseases. In order to ensure the successful release of the stent as well as a good proximal anchoring effect, it is necessary to preserve or reconstruct the left subclavian supply as much as possible. With the advance of various endovascular assistive technologies, different left subclavian artery revascularization techniques have gained widespread acceptance. So far, techniques include carotid-subclavian bypass or transposition, chimney grafts, fenestrations, branched aortic devices can reconstruct the left subclavian artery and other branch vessels on the arch. This article reviewed the present situation of left subclavian artery reconstruction and the selection of surgical methods of thoracic endovascular aortic repair.
