Transcatheter Intervention for Complex Ascending Aortic Pseudoaneurysm After Cardiac Surgery

Wei-Hsian Yin; Jeng Wei; Shen Kou Tsai; Ming C. Hsiung; Yung-Tsai Lee; Ho-Ping Yu; Ching-Huei Ou

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Transcatheter Intervention for Complex Ascending Aortic Pseudoaneurysm After Cardiac Surgery

机译：经导管介入治疗复杂的升主动脉假性动脉瘤

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Background: Ascending aortic pseudoaneurysm (PsA) is an uncommon but surgically challenging problem with high morbidity and mortality. Herein we describe the efficacy and safety of the different approaches to transcatheter intervention for repair of ascending PsA and assess the selection of occluder devices using real-time 3-dimensional (RT 3D) color Doppler transesophageal echocardiography (TEE). Methods?and?Results: Three patients with complex ascending PsA after cardiac or aortic root surgery were treated with transcatheter intervention due to high risk for redo surgery. Perioperative RT 3D-TEE combined with fluoroscopy was used for monitoring. All ascending PsA were successfully occluded with different devices using the transcatheter technique either with the transapical, transarterial approach, or transvenous combined with hybrid process depending on lesion anatomy. Conclusions: Treatment of complex ascending PsA with transcatheter or combined hybrid intervention with cautious planning based on patient presentation and well-coordinated teamwork was successful. RT 3D color Doppler TEE provided precise information for the selection of appropriate occluder device, and also facilitated the procedure by guiding the catheter through difficult anatomy. ( Circ J 2014; 78: 2215–2218)

机译：背景：升主动脉假性动脉瘤（PsA）是一种罕见的手术方法，具有较高的发病率和死亡率，但具有手术挑战性。在本文中，我们描述了经导管介入修复上升的PsA的不同方法的功效和安全性，并使用实时3维（RT 3D）彩色多普勒经食管超声心动图（TEE）评估了封堵器的选择。方法和结果：由于重做手术的高风险，对3例心脏或主动脉根部手术后复杂的PsA升高的患者进行了经导管介入治疗。围手术期RT 3D-TEE结合荧光透视进行监测。使用经导管技术，经心尖，经动脉的方法或经静脉结合混合过程（取决于病变的解剖结构），可以成功地用不同的装置阻塞所有上升的PsA。结论：基于患者表现和良好协调的团队合作，经导管或结合谨慎计划的混合介入治疗复杂的升压性PsA是成功的。 RT 3D彩色多普勒TEE为选择合适的封堵器设备提供了精确的信息，并且通过引导导管穿过困难的解剖结构也简化了手术过程。（2014年Circ J; 78：2215-1221年）

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《Circulation journal》 |2014年第9期|共4页
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Wei-Hsian Yin; Jeng Wei; Shen Kou Tsai; Ming C. Hsiung; Yung-Tsai Lee; Ho-Ping Yu; Ching-Huei Ou;
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中图分类心脏、血管（循环系）疾病;
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1. Transcatheter intervention for complex ascending aortic pseudoaneurysm after cardiac surgery [J] . YinW.-H., WeiJ., TsaiS.K., Circulation journal . 2014,第9期

机译：心脏手术后经导管介入治疗复杂的升主动脉假性动脉瘤
2. Transcatheter intervention for complex ascending aortic pseudoaneurysm after cardiac surgery [J] . YinW.-H., WeiJ., TsaiS.K., Circulation journal . 2014,第9期

机译：心脏手术后经导管介入治疗复杂的升主动脉假性动脉瘤
3. Transcatheter Intervention for Complex Ascending Aortic Pseudoaneurysm After Cardiac Surgery [J] . Wei-Hsian Yin, Jeng Wei, Shen Kou Tsai, Circulation journal . 2014,第9期

机译：经导管介入治疗复杂的升主动脉假性动脉瘤
4. Advanced intervention planning for Transcatheter Aortic Valve Implantations (TAVI) from CT using volumetric models [C] . Grbic S., Ionasec R., Mansi T., IEEE International Symposium on Biomedical Imaging: From Nano to Macro . 2013

机译：使用体积模型从CT进行经导管主动脉瓣植入（TAVI）的高级干预计划
5. Mechanical and structural characterization of ascending aortic tissues and graft materials used in the aortic arch reconstruction. [D] . Tremblay, Dominique. 2010

机译：升主动脉组织和用于主动脉弓重建的移植材料的机械和结构表征。
6. Systematic Review of Interventions to Repair Ascending Aortic Pseudoaneurysms [O] . Henry C. Quevedo, Ricardo Santiago-Trinidad, Jorge Castellanos, 2014

机译：修复升主动脉假性动脉瘤的干预措施的系统评价
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Transcatheter Intervention for Complex Ascending Aortic Pseudoaneurysm After Cardiac Surgery

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