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.	刘暴, 刘昌伟. 腹主动脉瘤腔内治疗的适应症——我们是不是走得太远? 中国微创外科杂志, 2013, 13(9): 772-773.
3.	贾鑫, 郭伟. 腹主动脉瘤腔内修复术操作技巧及并发症防治策略. 临床误诊误治, 2014, 27(3): 9-11.
4.	张小明. 解剖结构复杂腹主动脉瘤的介入治疗. 中国医师杂志, 2014, 16(3): 295-297.
5.	舒畅, 王暾. 腹主动脉瘤血流动力学特点和对策. 中国实用外科杂志, 2012, 32(12): 983-985.
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7.	吴义生, 陈剑秋. 腹主动脉瘤的腔内治疗进展. 医学综述, 2010, 16(10): 1541-1543.
8.	郭伟. 分叉支架型血管腔内修复腹主动脉瘤的操作技巧(上). 中华医学信息导报, 2012, 27(24): 18-19.
9.	曹树伟, 郭喜田, 王大伟, 等. 导丝" 抓捕”技术在下肢深静脉血栓形成介入治疗中的应用. 中国医学影像学杂志, 2014, 22(7): 525-528.
10.	王义平, 张希金, 潘晶晶, 等. 导丝捕获技术在左髂静脉闭塞合并下肢深静脉血栓形成介入治疗中的临床应用. 医学影像学杂志, 2013, 23(10): 1535-1537.
11.	申刚, 陈德基, 何明基. 下行双导丝技术在复杂腹主动脉瘤腔内治疗中的应用. 影像诊断于介入放射学, 2012, 21(3): 222-225.
12.	王雪钢, 白斗, 武少辉, 等. 血流动力学不稳定的破裂性腹主动脉瘤腔内治疗 3 例. 疑难病杂志, 2014, 13(12): 1292-1294.
13.	张显岚, 郭建刚. 腔内修复术治疗破裂性腹主动脉瘤的疗效及技巧探讨. 实用临床医药杂志, 2015, 19(9): 55-57.
14.	符伟国, 李永生, 王玉琦. 腹主动脉瘤腔内治疗的合理应用和技术要点. 中国实用外科杂志, 2012, 32(12): 991-994.
15.	景在平, 陆清声, 李振江. 腹主动脉瘤腔内治疗的历史与进展. 中华消化外科杂志, 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. 刘暴, 刘昌伟. 腹主动脉瘤腔内治疗的适应症——我们是不是走得太远? 中国微创外科杂志, 2013, 13(9): 772-773.
3. 贾鑫, 郭伟. 腹主动脉瘤腔内修复术操作技巧及并发症防治策略. 临床误诊误治, 2014, 27(3): 9-11.
4. 张小明. 解剖结构复杂腹主动脉瘤的介入治疗. 中国医师杂志, 2014, 16(3): 295-297.
5. 舒畅, 王暾. 腹主动脉瘤血流动力学特点和对策. 中国实用外科杂志, 2012, 32(12): 983-985.
6. 李震, 吴继东, 张玮, 等. 血管腔内技术. 第 2 版. 北京: 清华大学出版社, 2012. 42-43.
7. 吴义生, 陈剑秋. 腹主动脉瘤的腔内治疗进展. 医学综述, 2010, 16(10): 1541-1543.
8. 郭伟. 分叉支架型血管腔内修复腹主动脉瘤的操作技巧(上). 中华医学信息导报, 2012, 27(24): 18-19.
9. 曹树伟, 郭喜田, 王大伟, 等. 导丝" 抓捕”技术在下肢深静脉血栓形成介入治疗中的应用. 中国医学影像学杂志, 2014, 22(7): 525-528.
10. 王义平, 张希金, 潘晶晶, 等. 导丝捕获技术在左髂静脉闭塞合并下肢深静脉血栓形成介入治疗中的临床应用. 医学影像学杂志, 2013, 23(10): 1535-1537.
11. 申刚, 陈德基, 何明基. 下行双导丝技术在复杂腹主动脉瘤腔内治疗中的应用. 影像诊断于介入放射学, 2012, 21(3): 222-225.
12. 王雪钢, 白斗, 武少辉, 等. 血流动力学不稳定的破裂性腹主动脉瘤腔内治疗 3 例. 疑难病杂志, 2014, 13(12): 1292-1294.
13. 张显岚, 郭建刚. 腔内修复术治疗破裂性腹主动脉瘤的疗效及技巧探讨. 实用临床医药杂志, 2015, 19(9): 55-57.
14. 符伟国, 李永生, 王玉琦. 腹主动脉瘤腔内治疗的合理应用和技术要点. 中国实用外科杂志, 2012, 32(12): 991-994.
15. 景在平, 陆清声, 李振江. 腹主动脉瘤腔内治疗的历史与进展. 中华消化外科杂志, 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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