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首页> 外文期刊>Journal of endovascular therapy: an official journal of the International Society of Endovascular Specialists >New Technique for Preconditioning of the Spinal Cord Before Endovascular Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms
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New Technique for Preconditioning of the Spinal Cord Before Endovascular Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms

机译：胸腔胸腔胸腔和胸腔腹主动脉瘤前血管修复前脊髓预处理的新技术

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Purpose: To propose a new simplified technique to occlude multiple segmental arteries for staging and preconditioning of the spinal cord to decrease the potential for spinal cord ischemia after thoracic and thoracoabdominal aortic aneurysm repair. Technique: A thoracic stent-graft that flares out to a maximum of 51 mm is deployed in a standard fashion covering all segmental arteries where graft-wall apposition occurs in the first similar to 20 cm of the aneurysm. The segmental arteries are always closed at their ostia in contrast to selective coil embolization, where there is a risk of more peripheral closure. Follow-up imaging shows thrombus lining the stent-graft-covered portion of the aneurysm and secondary proximal segmental artery occlusion. Conclusion: A new and fast way of staging and preconditioning the spinal cord using a modified stent-graft prior to definitive repair might be an alternative to segmental artery embolization.
机译：目的：提出一种新的简化技术来遮挡椎弓根脊髓的分期和预处理来诱导多个节段性动脉，以降低胸腔和胸腔腹主动脉瘤修复后脊髓缺血的潜力。 技术：以标准时装突出至最大51毫米的胸前移植物，其标准时尚覆盖了移植壁环序在第一种类似于20厘米的动脉瘤中的所有节段性动脉。 与选择性线圈栓塞形成鲜明对比，节段动脉始终闭合，其中存在更外围封闭的风险。 后续成像显示动脉瘤和次级近端节段动脉闭塞的支架覆盖部分的血栓衬里。 结论：在确定性修复前使用改进的支架移植物的新的和快速地进行脊髓，可能是节段动脉栓塞的替代方案。

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