Active aortic aneurysm sac treatment with shape memory polymer during endovascular aneurysm repair

被引:4
作者
Holden, Andrew [1 ,9 ]
Hill, Andrew A. [2 ]
Khashram, Manar [3 ]
Heyligers, Jan M. M. [4 ]
Wiersema, Arno M. [5 ]
Hayes, Paul D. [6 ]
Reijnen, Michel M. P. J. [7 ,8 ]
机构
[1] Auckland City Hosp, Dept Radiol, Auckland, New Zealand
[2] Auckland City Hosp, Dept Vasc Serv, Auckland, New Zealand
[3] Waikato Hosp Hamilton, Dept Vasc & Endovasc Surg, Hamilton, Bermuda
[4] Elisabeth TweeSteden Ziekenhuis, Dept Surg, Tilburg, Netherlands
[5] Dijklander Ziekenhuis, Dept Surg, Hoorn, Netherlands
[6] St Johns Innovat Ctr, Cambridge, England
[7] Rijnstate, Dept Surg, Arnhem, Netherlands
[8] Univ Twente, Multimodal Med Imaging Grp, Enschede, Netherlands
[9] Auckland City Hosp, Dept Radiol, Pk Rd, Auckland 1023, New Zealand
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2023年 / 9卷 / 03期
关键词
Abdominal aortic aneurysm; Aneurysm regression; Aortic endograft; Endovascular aneurysm repair; Shape memory polymer; EMBOLIZATION;
D O I
10.1016/j.jvscit.2023.101241
中图分类号
R61 [外科手术学];
学科分类号
摘要
Preprocedural image analysis and intraprocedural techniques to fully treat infrarenal abdominal aortic aneurysm sacs outside of the endograft with shape memory polymer (SMP) devices during endovascular aneurysm repair were developed. Prospective, multicenter, single-arm studies were performed. SMP is a porous, self-expanding polyurethane polymer material. Target lumen volumes (aortic flow lumen volume minus endograft volume) were estimated from the preprocedural imaging studies and endograft dimensions. SMP was delivered immediately after endograft deployment via a 6F sheath jailed in a bowed position in the sac. Technical success was achieved in all cases, defined as implanting enough fully expanded SMP volume to treat the actual target lumen volume. (J Vasc Surg Cases Innov Tech 2023;9:101241.)
引用
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页数:7
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