夾層動(dòng)脈瘤雜交手術(shù)弓上分支轉(zhuǎn)流方式探討aorticarch-資料下載頁(yè)
2025-10-08 17:45本頁(yè)面
【導(dǎo)讀】頸-頸-鎖骨下動(dòng)脈。-頸動(dòng)脈端側(cè)吻合。-鎖骨下動(dòng)脈人造血管轉(zhuǎn)流（CA-SCA:artificial. 可能延長(zhǎng)頸動(dòng)脈阻斷時(shí)間的重建方式。瘺口位于弓頂，食道受壓，進(jìn)食困難。
【正文】 Case 3 TEVAR Case 3 Closed hemothorax drainage 主動(dòng)脈夾層伴左側(cè)頸動(dòng)脈受累病例 Case 4: aortic dissection with left carotid artery involvement 瘺口位置 entry position Case 4 Case 4 BYPASS 頸頸轉(zhuǎn)流 +頸鎖骨下對(duì)端吻合 CACA bypass + CASCA endend anastomosis Case 4 總結(jié) summary ? TEVAR手術(shù) ? ? ? ① Carotid hybrid operations make TEVAR procedure safe and possible for the aortic dissections with arch entries. ② With relatively low plication rate, ③ the procedure can be customized for individual patient. ④ Key point for plication prevention is to reduce the carotid artery blocking time as much as possible. Thanks for your attention！ 謝 謝！ Dept. of Vascular Surgery, 2nd Teaching Hosp. Harbin Medical University, Harbin, Heilongjiang, China 哈爾濱醫(yī)科大學(xué)附屬第二醫(yī)院 血管外科
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