【摘要】 目的:探索一种新的安全有效全腔内重建左锁骨下动脉(LSA)的方法。方法:针对2例胸主动脉腔内修复术中需要重建LSA的患者,采用目前市售的介入器材并改进,先释放胸主动脉覆膜支架覆盖LSA,再于LSA开口处行体内穿刺破膜、球囊扩张并置入左锁骨下动脉支架,原位开窗重建LSA。结果:患者2例均取得技术成功,主体支架无移位,无内漏;重建的LSA通畅,无内漏。结论:原位开窗的方法可以有效的重建LSA,长期疗效有待进一步随访。更多还原

【Abstract】 Objective:To explore an innovative approach for left subclavian artery(LSA) reconstruction during thoracic endovascular repair.Methods:In two cases of thoracic endovascular repair requiring LSA reconstruction via fenestration in situ,a commercially available device and equipment were employed.Results:All cases achieved technical success without endoleak or stent graft migration.Conclusion:Fenestration in situ is an effective method for endovascular LSA reconstruction.However,the long term clinical outcome awaits further follow-up.更多还原