Applications capture technology in larger abdominal aortic aneurysm surgery performed during endovascular repair of abdominal aortic aneurysm_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Xuegang , BAI Dou , WU Shaohui , ZHANG Xiaojie ,  JIANG Lanshan

Department of Vascular Surgery, Mianyang Central Hospital, Mianyang, 621000, Sichuan, P.R.China;

Corresponding?author：

JIANG Lanshan, Email: myvascular@163.com

Keywords：

Abdominal aortic aneurysm; repair cavity; tumor neck; capture technology

DOI：

10.7507/1007-4848.201507044

Video：

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Objective To summarize the clinical experience of capture technology in the large diameter of abdominal aortic aneurysm in endovascular repair of abdominal aortic aneurysm(EVAR). Methods We retrospectively analyzed clinical data of 6 patients with abdominal aortic aneurysm (maximum diameter of 6.0 cm or bigger) in our hospital between July 2013 and May 2014.There were 3 males and 3 females at age of 76.2(73–81) years. Two patients of ruptured abdominal aortic aneurysm, in EVAR, established orbit using the capture technology successfully. Results The capture technology made the thread through the proximal tumor neck smoothly, successful repaired. One patient of rupture of abdominal aortic aneurysm was dead after 10 hours. One patient was lost to follow-up. Four patients were followed up for 3 to 11 months. The four patients had not occurred bracket displacement, internal leakage, thrombosis, or other serious complications. Conclusion For the patients with larger abdominal aortic aneurysm, capture technology may be used to the thread through the proximal tumor neck, to build a convey or track easily, to shorten the operation time, to improve the success rate of surgery.

Citation： WANG Xuegang, BAI Dou, WU Shaohui, ZHANG Xiaojie, JIANG Lanshan. Applications capture technology in larger abdominal aortic aneurysm surgery performed during endovascular repair of abdominal aortic aneurysm. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(5): 374-376. doi: 10.7507/1007-4848.201507044 Copy

1.	Yusuf SW, Baker DM, Chuter TA, et al.Transfemoral endoluminal repair of abdominal aortic aneurysm with bifureated graft. Lancet, 1994, 344(8923): 650-651.
2.	劉暴, 劉昌偉. 腹主動脈瘤腔內治療的適應癥——我們是不是走得太遠? 中國微創外科雜志, 2013, 13(9): 772-773.
3.	賈鑫, 郭偉. 腹主動脈瘤腔內修復術操作技巧及并發癥防治策略. 臨床誤診誤治, 2014, 27(3): 9-11.
4.	張小明. 解剖結構復雜腹主動脈瘤的介入治療. 中國醫師雜志, 2014, 16(3): 295-297.
5.	舒暢, 王暾. 腹主動脈瘤血流動力學特點和對策. 中國實用外科雜志, 2012, 32(12): 983-985.
6.	李震, 吳繼東, 張瑋, 等. 血管腔內技術. 第 2 版. 北京: 清華大學出版社, 2012. 42-43.
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8.	郭偉. 分叉支架型血管腔內修復腹主動脈瘤的操作技巧(上). 中華醫學信息導報, 2012, 27(24): 18-19.
9.	曹樹偉, 郭喜田, 王大偉, 等. 導絲" 抓捕”技術在下肢深靜脈血栓形成介入治療中的應用. 中國醫學影像學雜志, 2014, 22(7): 525-528.
10.	王義平, 張希金, 潘晶晶, 等. 導絲捕獲技術在左髂靜脈閉塞合并下肢深靜脈血栓形成介入治療中的臨床應用. 醫學影像學雜志, 2013, 23(10): 1535-1537.
11.	申剛, 陳德基, 何明基. 下行雙導絲技術在復雜腹主動脈瘤腔內治療中的應用. 影像診斷于介入放射學, 2012, 21(3): 222-225.
12.	王雪鋼, 白斗, 武少輝, 等. 血流動力學不穩定的破裂性腹主動脈瘤腔內治療 3 例. 疑難病雜志, 2014, 13(12): 1292-1294.
13.	張顯嵐, 郭建剛. 腔內修復術治療破裂性腹主動脈瘤的療效及技巧探討. 實用臨床醫藥雜志, 2015, 19(9): 55-57.
14.	符偉國, 李永生, 王玉琦. 腹主動脈瘤腔內治療的合理應用和技術要點. 中國實用外科雜志, 2012, 32(12): 991-994.
15.	景在平, 陸清聲, 李振江. 腹主動脈瘤腔內治療的歷史與進展. 中華消化外科雜志, 2015, 14(9): 702-706.
16.	Valente S, Lazzeri C, Giglioli C, et al. Contrastinduced nephropathy in urgent coronary interventions. J Cardiovasc Med, 2006, 7(10): 737-741.
17.	De Bruin JL, Baas AF, Buth J, et al. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med, 2010, 362(20): 1881-1889.
18.	Greenhalgh RM, Brown LC, Powell JT, et al. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med, 2010, 362(20): 1863-1871.
19.	Chaikof EL, Brewster DC, Dalman RL, et al. The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. J Vasc Surg, 2009, 50(Suppl 4): S2-S49.
20.	Moll FL, Powell JT, Fraedrich G, et al. Management of abdominal aortic aneurysms clinical practice guidelines of the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg, 2011, 41(Suppl 1): S1-S58.

1. Yusuf SW, Baker DM, Chuter TA, et al.Transfemoral endoluminal repair of abdominal aortic aneurysm with bifureated graft. Lancet, 1994, 344(8923): 650-651.
2. 劉暴, 劉昌偉. 腹主動脈瘤腔內治療的適應癥——我們是不是走得太遠? 中國微創外科雜志, 2013, 13(9): 772-773.
3. 賈鑫, 郭偉. 腹主動脈瘤腔內修復術操作技巧及并發癥防治策略. 臨床誤診誤治, 2014, 27(3): 9-11.
4. 張小明. 解剖結構復雜腹主動脈瘤的介入治療. 中國醫師雜志, 2014, 16(3): 295-297.
5. 舒暢, 王暾. 腹主動脈瘤血流動力學特點和對策. 中國實用外科雜志, 2012, 32(12): 983-985.
6. 李震, 吳繼東, 張瑋, 等. 血管腔內技術. 第 2 版. 北京: 清華大學出版社, 2012. 42-43.
7. 吳義生, 陳劍秋. 腹主動脈瘤的腔內治療進展. 醫學綜述, 2010, 16(10): 1541-1543.
8. 郭偉. 分叉支架型血管腔內修復腹主動脈瘤的操作技巧(上). 中華醫學信息導報, 2012, 27(24): 18-19.
9. 曹樹偉, 郭喜田, 王大偉, 等. 導絲" 抓捕”技術在下肢深靜脈血栓形成介入治療中的應用. 中國醫學影像學雜志, 2014, 22(7): 525-528.
10. 王義平, 張希金, 潘晶晶, 等. 導絲捕獲技術在左髂靜脈閉塞合并下肢深靜脈血栓形成介入治療中的臨床應用. 醫學影像學雜志, 2013, 23(10): 1535-1537.
11. 申剛, 陳德基, 何明基. 下行雙導絲技術在復雜腹主動脈瘤腔內治療中的應用. 影像診斷于介入放射學, 2012, 21(3): 222-225.
12. 王雪鋼, 白斗, 武少輝, 等. 血流動力學不穩定的破裂性腹主動脈瘤腔內治療 3 例. 疑難病雜志, 2014, 13(12): 1292-1294.
13. 張顯嵐, 郭建剛. 腔內修復術治療破裂性腹主動脈瘤的療效及技巧探討. 實用臨床醫藥雜志, 2015, 19(9): 55-57.
14. 符偉國, 李永生, 王玉琦. 腹主動脈瘤腔內治療的合理應用和技術要點. 中國實用外科雜志, 2012, 32(12): 991-994.
15. 景在平, 陸清聲, 李振江. 腹主動脈瘤腔內治療的歷史與進展. 中華消化外科雜志, 2015, 14(9): 702-706.
16. Valente S, Lazzeri C, Giglioli C, et al. Contrastinduced nephropathy in urgent coronary interventions. J Cardiovasc Med, 2006, 7(10): 737-741.
17. De Bruin JL, Baas AF, Buth J, et al. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med, 2010, 362(20): 1881-1889.
18. Greenhalgh RM, Brown LC, Powell JT, et al. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med, 2010, 362(20): 1863-1871.
19. Chaikof EL, Brewster DC, Dalman RL, et al. The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. J Vasc Surg, 2009, 50(Suppl 4): S2-S49.
20. Moll FL, Powell JT, Fraedrich G, et al. Management of abdominal aortic aneurysms clinical practice guidelines of the European Society for Vascular Surgery. Eur J Vasc Endovasc Surg, 2011, 41(Suppl 1): S1-S58.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Applications capture technology in larger abdominal aortic aneurysm surgery performed during endovascular repair of abdominal aortic aneurysm

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