Application of endovascular balloon occlusion in complex aortic surgery
10.3760/cma.j.cn112434-20210912-00313
- VernacularTitle:球囊腔内阻断在复杂主动脉手术中的应用
- Author:
Chengwei YANG
1
;
Wei LIU
;
Mingliang PENG
;
Hao LIU
;
Hao PENG
;
Lizhong SUN
;
Lianjun HUANG
Author Information
1. 上海德达医院影像与介入治疗科 201702
- Keywords:
Interventional balloon;
Aortic dissection;
Sun's operation;
Aortic replacement
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(11):660-664
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the experience of 15 cases of balloon endovascular occlusion assisted aortic replacement.Methods:15 patients who needed reoperation after aortic surgery underwent endovascular balloon occlusion assisted aortic replacement by DSA guidance in the hybrid OR. Main inclusion criteria: The target vessel to be blocked cannot be directly blocked. Based on the last CTA before the operation, the diameter of the target vessel was measured, and the appropriate diameter balloon and the appropriate diameter balloon and the amount of contrast agent were selected. The vascular approach was selected according to the CTA.During the operation, the balloon was filled and fixed well, the distal invasive blood pressure waveform showed advection, and the pressure close to hydrostatic pressure as the complete blocking standard.Results:All 15 cases of balloon endovascular occlusion assisted aortic surgery were successful. After the operation, 14 target vessels normally without damage, and there was no vascular complication. One case after surgical three-branch stent surgery underwent the second thoracoabdominal aortic replacement operation. After the stent was blocked by the balloon, the new tissue in the stent fell off, and the celiac trunk and superior mesenteric artery were embolized for reoperation.Conclusion:Balloon endovascular occlusion technology expands the indications of aortic surgery and simplifies the operation, that is a safe and effective occlusion method. Whether the target vessel is suitable for balloon occlusion should be judged before the operation to avoid related complications.
