Laser Fenestration for Treatment of a Complicated Chronic Type B Aortic Dissection

Tara Talaie; Christopher Werter; Charles Drucker; Brittany O. Aicher; Robert Crawford; Shahab Toursavadkohi

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Laser Fenestration for Treatment of a Complicated Chronic Type B Aortic Dissection

机译：激光衰减用于治疗复杂的慢性型B主动脉夹层

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We report a case of a complex chronic type B aortic dissection treated by thoracic endovascular aortic repair and laser fenestration of the false septum to preserve flow to branch vessels originating from both the true and false lumen. Dissections complicated by thoracoabdominal aneurysmal degeneration with critical organs being perfused by branches arising from both true and false lumens are rare and leave limited options for repair. Despite advancements in endovascular techniques, fenestration remains one of the only means of preserving flow to both the true and false lumens and thus was necessary in the management of our patient. This novel procedure allows complex aortic dissections to be addressed endovascularly, which increases the flexibility and management of this challenging problem that previously required an open repair with significant morbidity.

机译：我们报告了通过胸腔血管内主动脉瘤修复和激光衰减的复杂慢性型B主动脉解剖的病例，以保护源自真假腔的分支血管流动。胸腹动脉瘤变性与临界器官灌注的临界器官复杂的解剖是稀有的，并且留下有限的修复选择。尽管血管内技术的进步，但更eneStration仍然是保存对真假流明的流动的唯一手段，因此在我们的患者的管理中是必要的。这种新的程序允许复杂的主动脉夹剖面来解决肠血管，这增加了这种具有挑战性问题的灵活性和管理，以前需要具有显着发病率的开放修复。

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来源
《Vascular and endovascular surgery》 |2018年第3期|共6页
作者
Tara Talaie; Christopher Werter; Charles Drucker; Brittany O. Aicher; Robert Crawford; Shahab Toursavadkohi;
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作者单位

University of Maryland School of Medicine Baltimore MD USA;

Division of Vascular Surgery Department of Surgery University of Maryland School of Medicine;

Division of Vascular Surgery Department of Surgery University of Maryland School of Medicine;

Division of Vascular Surgery Department of Surgery University of Maryland School of Medicine;

Division of Vascular Surgery Department of Surgery University of Maryland School of Medicine;

Division of Vascular Surgery Department of Surgery University of Maryland School of Medicine;

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原文格式 PDF
正文语种 eng
中图分类心脏血管和淋巴系外科学;
关键词
aortic dissection; fenestration; thoracic endovascular aortic repair;

机译：主动脉解剖;失败;胸内血管血管主动脉修复;

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1. Laser Fenestration for Treatment of a Complicated Chronic Type B Aortic Dissection [J] . Tara Talaie, Christopher Werter, Charles Drucker, Vascular and endovascular surgery . 2018,第3期

机译：激光衰减用于治疗复杂的慢性型B主动脉夹层
2. Endovascular longitudinal fenestration and stent graft placement for treatment of aneurysms developing after chronic type B aortic dissection [J] . Barshes Neal R., Gravereaux Edwin C., Semel Marcus, Journal of vascular surgery . 2015,第5期

机译：用于治疗动脉瘤发生慢性型B主动脉夹层后的子血管纵向更敏和支架移植物放置
3. Endovascular longitudinal fenestration and stent graft placement for treatment of aneurysms developing after chronic type B aortic dissection [J] . Barshes Neal R., Gravereaux Edwin C., Semel Marcus, Journal of vascular surgery . 2015,第5期

机译：血管内纵向开窗和覆膜支架置入术治疗慢性B型主动脉夹层动脉瘤
4. Numerical Simulation of Impedance Cardiogram Changes in Case of Chronic Aortic Dissection [C] . Vahid Badeli, Alice Reinbacher-Kostinger, Oszkar Biro International Conference on Electrical Bioimpedance . 2020

机译：慢性主动脉解剖情况下阻抗心电图变化的数值模拟
5. Determining the effect of congenital bicuspid aortic valves on aortic dissection using computational fluid dynamics. [D] . Burken, Jennifer Ann. 2012

机译：使用计算流体力学确定先天性双尖瓣主动脉瓣对主动脉夹层的影响。
6. Aortic Fenestration for Type B Chronic Aortic Dissection Complicated with Lower Limb Malperfusion Induced by Walking Exercise [O] . Kenichi Arata, Itsumi Imagama, Yoshiya Shigehisa, 2015

机译：B型慢性主动脉夹层并发步行运动导致下肢灌注不足的主动脉窗
7. Aortic fenestration for chronic aortic dissection type B complicated by transient ischemic attacks of spinal cord [O] . Altuwaijri Maraya, Delis Konstantinos T., Vrtiska Terri, 2006

机译：B型慢性主动脉夹层并发脊髓短暂性脑缺血发作的主动脉开窗术

Laser Fenestration for Treatment of a Complicated Chronic Type B Aortic Dissection

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