The short-term clinical efficacy of in situ needle fenestration with Castor single-branched stent graft for aortic arch diseases
龚勇泉 1卢天成 1农巍 1吴先球 1韦成信 1邝权兴 1李孝成 1王丽萍
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作者信息
1. 柳州市人民医院心脏血管外科，柳州 545003
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摘要
目的 总结分析Castor分支支架联合开窗技术治疗主动脉弓部疾病的近期临床效果。 方法 本研究为回顾性纵向研究。回顾性分析2022 年3月至2023年2月柳州市人民医院心脏血管外科15例采用Castor支架联合开窗技术治疗主动脉弓部疾病患者的资料，其中弓部动脉瘤10例，主动脉溃疡5例。Castor主体支架锚定在Z1区，分支支架植入左颈总动脉，左锁骨下动脉原位开窗。观察围术期和随访期情况。 结果 本组患者技术成功率100%，手术时间（127.0±9.8）min，住院时间（14±2）d，围术期未发现明显内漏及其他严重并发症。15例患者均获得随访，随访时间为（6.2±4.2）个月。随访期内，未见支架移位，主体支架、分支支架以及开窗支架通畅良好，无内漏发生，无中枢神经系统并发症。 结论 Castor支架联合左锁骨下动脉原位开窗技术处理主动脉弓部疾病近期临床效果良好。 Objective To investigate the short-term effect of in situ needle fenestration (ISNF) with Castor single-branched stent graft for aortic arch diseases. Methods This study was a retrospective longitudinal study. Fifteen cases of aortic arch disease, from March 2022 to February 2023 in Liuzhou People's Hospital, treated by ISNF with Castor single-branched stent graft were retrospectively analyzed. Among them, there were 10 cases of aortic arch aneurysm and 5 cases of penetrating aortic ulcer. The main stent was anchored in the Z1 zone while the branched stent were implanted into the left carotid artery. Accordingly, the left subclavian artery was reconstructed using ISNF. General conditions during perioperative and follow-up periods were observed. Results Full technical success was achieved among all the patients. The operation time was (127.0±9.8) min. The hospital stay was (14±2) days. No endoleaks or other severe complications were found after operation. All the patients were followed up for (6.2±4.2) months, during which all the stents were in good position with excellent patency of the main stent, branched stent and fenestrated stent. No endoleaks or central nervous system complications were found. Conclusion Castor single-branched stent graft combined with ISNF has satisfactory short-term clinical efficacy for treating aortic arch diseases.
Abstract
Objective To investigate the short-term effect of in situ needle fenestration (ISNF) with Castor single-branched stent graft for aortic arch diseases. Methods This study was a retrospective longitudinal study. Fifteen cases of aortic arch disease, from March 2022 to February 2023 in Liuzhou People's Hospital, treated by ISNF with Castor single-branched stent graft were retrospectively analyzed. Among them, there were 10 cases of aortic arch aneurysm and 5 cases of penetrating aortic ulcer. The main stent was anchored in the Z1 zone while the branched stent were implanted into the left carotid artery. Accordingly, the left subclavian artery was reconstructed using ISNF. General conditions during perioperative and follow-up periods were observed. Results Full technical success was achieved among all the patients. The operation time was (127.0±9.8) min. The hospital stay was (14±2) days. No endoleaks or other severe complications were found after operation. All the patients were followed up for (6.2±4.2) months, during which all the stents were in good position with excellent patency of the main stent, branched stent and fenestrated stent. No endoleaks or central nervous system complications were found. Conclusion Castor single-branched stent graft combined with ISNF has satisfactory short-term clinical efficacy for treating aortic arch diseases.
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