目的 探讨累及左锁骨下动脉（LSA）的主动脉夹层（AD）腔内修复术中开窗技术的研究进展。 方法 在中国知网、万方数据、维普数据及PubMed等中、英文数据库检索2023年6月前公开发表的关于AD治疗和开窗技术的相关文献142篇，剔除内容不符、无法获取原文、重复性研究的文章，最终纳入48篇近期发表在较为权威期刊的文章，总结和分析累及LSA的AD腔内开窗技术的研究进展。 结果 近年来开窗技术发展迅速且比较成熟，在累及LSA的AD治疗中表现出诸多优势，并成功应用于左椎动脉起源于主动脉弓的解剖学变异患者的治疗。但该技术存在对位困难的缺点，术前3D打印技术的应用有效提高了预开窗技术的对位成功率。 结论 开窗技术是众多分支血管重建技术中的一种，在目前AD治疗以腔内介入为主的大环境下，凭借其创伤小、符合生理解剖结构、并发症少等优势，加上3D打印技术的辅助，在未来会有更大的发展空间。 Objective This study aims to summarize the clinical application progress of fenestration for endovascular treatment of aortic dissection (AD) involving left subclavian artery (LSA). Methods A total of 142 studies on fenestration and the treatment of AD before June 2023 were searched in Chinese and English databases such as CNKI, Wanfang Data, Weipu Data, and PubMed. After excluding studies with inconsistent content, unavailable original text, and repetitive content, 48 published papers in authoritative journals were included to summarize and analyze the research progress in fenestration for endovascular treatment of AD involving LSA. Results Fenestration has developed rapidly and is relatively mature. It has many advantages in the treatment of AD involving LSA and has been successfully applied to the treatment of patients with anatomical variations in the left vertebral artery originating from the aortic arch. However, difficulties in alignment are noted. Preoperative three-dimentional (3D) printing technology can effectively improve the success rate of the alignment of preprocedural fenestration. Conclusion Fenestration is one of many branch vessel reconstruction techniques. In the current environment where endovascular intervention is the main treatment for AD, fenestration has the advantages of less trauma, physiological and anatomical structure, and fewer complications. With the assistance of 3D printing technology, fenestration will have more room for development in the future.
Research progress on endovascular fenestration of aortic dissection involving left subclavian artery
Objective This study aims to summarize the clinical application progress of fenestration for endovascular treatment of aortic dissection (AD) involving left subclavian artery (LSA). Methods A total of 142 studies on fenestration and the treatment of AD before June 2023 were searched in Chinese and English databases such as CNKI, Wanfang Data, Weipu Data, and PubMed. After excluding studies with inconsistent content, unavailable original text, and repetitive content, 48 published papers in authoritative journals were included to summarize and analyze the research progress in fenestration for endovascular treatment of AD involving LSA. Results Fenestration has developed rapidly and is relatively mature. It has many advantages in the treatment of AD involving LSA and has been successfully applied to the treatment of patients with anatomical variations in the left vertebral artery originating from the aortic arch. However, difficulties in alignment are noted. Preoperative three-dimentional (3D) printing technology can effectively improve the success rate of the alignment of preprocedural fenestration. Conclusion Fenestration is one of many branch vessel reconstruction techniques. In the current environment where endovascular intervention is the main treatment for AD, fenestration has the advantages of less trauma, physiological and anatomical structure, and fewer complications. With the assistance of 3D printing technology, fenestration will have more room for development in the future.
Aortic dissectionEndovascular treatment of thoracic aortaFenestrationLeft subclavian arteryThree-dimensional printing
万方数据
