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Эндоваскулярное лечение аневризм брюшной аорты с применением фенестрированных эндографтов, изготовленных под заказ компанией-производителем
Эндоваскулярное лечение аневризм брюшной аорты с применением фенестрированных эндографтов, изготовленных под заказ компанией-производителем
Абугов С.А., Власко Г.С., Поляков Р.С., Пурецкий М.В., Марданян Г.В., Пиркова А.А., Карамян Д.А., Чаргазия Ш.Г., Кур-ипа К.А. Эндоваскулярное лечение аневризм брюшной аорты с применением фенестрированных эндографтов, изготовленных под заказ компанией-производителем. Consilium Medicum.
2023;25(10):698–702. DOI:10.26442/20751753.2023.10.202254
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
2023;25(10):698–702. DOI:10.26442/20751753.2023.10.202254
© ООО «КОНСИЛИУМ МЕДИКУМ», 2023 г.
________________________________________________
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Аннотация
В статье представлены два клинических случая эндоваскулярного протезирования брюшного отдела аорты с применением изготовленных компанией-производителем фенестрированных эндографтов у пациентов с юкста- и параренальной аневризмами брюшной аорты. Проанализированы варианты эндоваскулярных подходов к лечению патологии. На клинических примерах показана специфика выбора и обоснование использования эндоваскулярного метода лечения. Сделан вывод об эффективности примененной методики.
Ключевые слова: эндопротезирование брюшного отдела аорты, фенестрированный стент-графт, неблагоприятная проксимальная шейка
Keywords: endovascular aortic repair, fenestrated stent-graft, unfavorable proximal neck
Ключевые слова: эндопротезирование брюшного отдела аорты, фенестрированный стент-графт, неблагоприятная проксимальная шейка
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Keywords: endovascular aortic repair, fenestrated stent-graft, unfavorable proximal neck
Полный текст
Список литературы
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3. Park JH, Chung JW, Choo IW, et al. Fenestrated stent-grafts for preserving visceral arterial branches in the treatment of abdominal aortic aneurysms: Preliminary experience. J Vasc Interv Radiol. 1996;7(6):819-23. DOI:10.1016/S1051-0443(96)70854-0
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7. Karathanos C, Spanos K, Kouvelos G, et al. Hostility of proximal aortic neck anatomy in relation to abdominal aortic aneurysm size and its impact on the outcome of endovascular repair with the new generation endografts. J Cardiovasc Surg (Torino). 2020;61(1):60-6. DOI:10.23736/S0021-9509.18.10001-2
8. Brinster CJ, Milner R. Fenestrated endovascular aortic repair and clinical trial devices for complex abdominal aortic aneurysms. J Cardiovasc Surg (Torino). 2018;59(3):342-59. DOI:10.23736/S0021-9509.18.10460-5
9. Mirza AK, Kärkkäinen JM, Tenorio ER, et al. Emergency endovascular repair of symptomatic post-dissection thoraco-abdominal aneurysm using a physician modified fenestrated endograft during the waiting period for a manufactured endograft. EJVES Vasc Forum. 2020;49:11-5. DOI:10.1016/j.ejvsvf.2020.08.003
10. Georgiadis GS, van Herwaarden JA, Antoniou GA, et al. Systematic Review of Off-the-Shelf or Physician-Modified Fenestrated and Branched Endografts. Journal of Endovascular Therapy. 2016;23(1):98-109. DOI:10.1177/1526602815611887
11. Поляков Р.С., Пурецкий М.В., Марданян Г.В., и др. Применение модифицированного фенестрированного стент-графта при юкстаренальных аневризмах. Клиническая и экспериментальная хирургия. Журнал имени академика Б.В. Петровского. 2022;10(4):16-21 [Polyakov RS, Puretskiy MV, Mardanyan GV, et al. The use of physician-modified stent graft during EVAR in patient with juxtarenal aneurysm. Clinical and Experimental Surgery. Petrovsky Journal. 2022;10(4):16-21 (in Russian)]. DOI:10.33029/2308-1198-2022-10-4-16-21
12. O'Donnell TFX, Boitano LT, Deery SE, et al. Open versus fenestrated endovascular repair of complex abdominal aortic aneurysms. Ann Surg. 2020;271(5):969-77. DOI:10.1097/SLA.0000000000003094
13. Dossabhoy SS, Simons JP, Flahive JM, et al. Fenestrated endovascular aortic aneurysm repair using physician-modified endovascular grafts versus company-manufactured devices. J Vasc Surg. 2018;67(6):1673-83. DOI:10.1016/j.jvs.2017.10.055
14. Gallitto E, Faggioli G, Pini R, et al. Endovascular repair of thoraco-abdominal aortic aneurysms by fenestrated and branched endografts. Eur J Cardiothorac Surg.
2019;56(5):993-1000. DOI:10.1093/ejcts/ezz125
15. Newton DH, Etkin Y, Foley PJ 3rd, et al. Maximizing proximal seal zone in fenestrated endografting: Evolution in the approach to graft configuration. J Vasc Surg. 2020;72(6):1891-6. DOI:10.1016/j.jvs.2020.03.049
2. Schanzer A, Greenberg RK, Hevelone N, et al. Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair. Circulation. 2011;123(24):2848-55. DOI:10.1161/CIRCULATIONAHA.110.014902
3. Park JH, Chung JW, Choo IW, et al. Fenestrated stent-grafts for preserving visceral arterial branches in the treatment of abdominal aortic aneurysms: Preliminary experience. J Vasc Interv Radiol. 1996;7(6):819-23. DOI:10.1016/S1051-0443(96)70854-0
4. Faruqi RM, Chuter TAM, Reilly LM, et al. Endovascular repair of abdominal aortic aneurysm using a pararenal fenestrated stent-graft. J Endovasc Surg. 1999;6(4):354-8. DOI:10.1177/152660289900600411
5. Locham S, Faateh M, Dhaliwal J, et al. Outcomes and cost of fenestrated versus standard endovascular repair of intact abdominal aortic aneurysm in the United States. J Vasc Surg. 2019;69(4):1036-44.e1. DOI:10.1016/j.jvs.2018.06.211
6. D’Oria M, Galeazzi E, Veraldi GF, et al. Impact of proximal neck anatomy on short-term and mid-term outcomes after treatment of abdominal aortic aneurysms with new-generation low-profile endografts. Results from the multicentric “ITAlian North-East Registry of ENDOvascular Aortic Repair With the BOltOn Treo Endograft (ITA-ENDOBOOT)”. Ann Vasc Surg. 2022;80:37-49. DOI:10.1016/j.avsg.2021.08.059
7. Karathanos C, Spanos K, Kouvelos G, et al. Hostility of proximal aortic neck anatomy in relation to abdominal aortic aneurysm size and its impact on the outcome of endovascular repair with the new generation endografts. J Cardiovasc Surg (Torino). 2020;61(1):60-6. DOI:10.23736/S0021-9509.18.10001-2
8. Brinster CJ, Milner R. Fenestrated endovascular aortic repair and clinical trial devices for complex abdominal aortic aneurysms. J Cardiovasc Surg (Torino). 2018;59(3):342-59. DOI:10.23736/S0021-9509.18.10460-5
9. Mirza AK, Kärkkäinen JM, Tenorio ER, et al. Emergency endovascular repair of symptomatic post-dissection thoraco-abdominal aneurysm using a physician modified fenestrated endograft during the waiting period for a manufactured endograft. EJVES Vasc Forum. 2020;49:11-5. DOI:10.1016/j.ejvsvf.2020.08.003
10. Georgiadis GS, van Herwaarden JA, Antoniou GA, et al. Systematic Review of Off-the-Shelf or Physician-Modified Fenestrated and Branched Endografts. Journal of Endovascular Therapy. 2016;23(1):98-109. DOI:10.1177/1526602815611887
11. Polyakov RS, Puretskiy MV, Mardanyan GV, et al. The use of physician-modified stent graft during EVAR in patient with juxtarenal aneurysm. Clinical and Experimental Surgery. Petrovsky Journal. 2022;10(4):16-21 (in Russian). DOI:10.33029/2308-1198-2022-10-4-16-21
12. O'Donnell TFX, Boitano LT, Deery SE, et al. Open versus fenestrated endovascular repair of complex abdominal aortic aneurysms. Ann Surg. 2020;271(5):969-77. DOI:10.1097/SLA.0000000000003094
13. Dossabhoy SS, Simons JP, Flahive JM, et al. Fenestrated endovascular aortic aneurysm repair using physician-modified endovascular grafts versus company-manufactured devices. J Vasc Surg. 2018;67(6):1673-83. DOI:10.1016/j.jvs.2017.10.055
14. Gallitto E, Faggioli G, Pini R, et al. Endovascular repair of thoraco-abdominal aortic aneurysms by fenestrated and branched endografts. Eur J Cardiothorac Surg.
2019;56(5):993-1000. DOI:10.1093/ejcts/ezz125
15. Newton DH, Etkin Y, Foley PJ 3rd, et al. Maximizing proximal seal zone in fenestrated endografting: Evolution in the approach to graft configuration. J Vasc Surg. 2020;72(6):1891-6. DOI:10.1016/j.jvs.2020.03.049
2. Schanzer A, Greenberg RK, Hevelone N, et al. Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair. Circulation. 2011;123(24):2848-55. DOI:10.1161/CIRCULATIONAHA.110.014902
3. Park JH, Chung JW, Choo IW, et al. Fenestrated stent-grafts for preserving visceral arterial branches in the treatment of abdominal aortic aneurysms: Preliminary experience. J Vasc Interv Radiol. 1996;7(6):819-23. DOI:10.1016/S1051-0443(96)70854-0
4. Faruqi RM, Chuter TAM, Reilly LM, et al. Endovascular repair of abdominal aortic aneurysm using a pararenal fenestrated stent-graft. J Endovasc Surg. 1999;6(4):354-8. DOI:10.1177/152660289900600411
5. Locham S, Faateh M, Dhaliwal J, et al. Outcomes and cost of fenestrated versus standard endovascular repair of intact abdominal aortic aneurysm in the United States. J Vasc Surg. 2019;69(4):1036-44.e1. DOI:10.1016/j.jvs.2018.06.211
6. D’Oria M, Galeazzi E, Veraldi GF, et al. Impact of proximal neck anatomy on short-term and mid-term outcomes after treatment of abdominal aortic aneurysms with new-generation low-profile endografts. Results from the multicentric “ITAlian North-East Registry of ENDOvascular Aortic Repair With the BOltOn Treo Endograft (ITA-ENDOBOOT)”. Ann Vasc Surg. 2022;80:37-49. DOI:10.1016/j.avsg.2021.08.059
7. Karathanos C, Spanos K, Kouvelos G, et al. Hostility of proximal aortic neck anatomy in relation to abdominal aortic aneurysm size and its impact on the outcome of endovascular repair with the new generation endografts. J Cardiovasc Surg (Torino). 2020;61(1):60-6. DOI:10.23736/S0021-9509.18.10001-2
8. Brinster CJ, Milner R. Fenestrated endovascular aortic repair and clinical trial devices for complex abdominal aortic aneurysms. J Cardiovasc Surg (Torino). 2018;59(3):342-59. DOI:10.23736/S0021-9509.18.10460-5
9. Mirza AK, Kärkkäinen JM, Tenorio ER, et al. Emergency endovascular repair of symptomatic post-dissection thoraco-abdominal aneurysm using a physician modified fenestrated endograft during the waiting period for a manufactured endograft. EJVES Vasc Forum. 2020;49:11-5. DOI:10.1016/j.ejvsvf.2020.08.003
10. Georgiadis GS, van Herwaarden JA, Antoniou GA, et al. Systematic Review of Off-the-Shelf or Physician-Modified Fenestrated and Branched Endografts. Journal of Endovascular Therapy. 2016;23(1):98-109. DOI:10.1177/1526602815611887
11. Поляков Р.С., Пурецкий М.В., Марданян Г.В., и др. Применение модифицированного фенестрированного стент-графта при юкстаренальных аневризмах. Клиническая и экспериментальная хирургия. Журнал имени академика Б.В. Петровского. 2022;10(4):16-21 [Polyakov RS, Puretskiy MV, Mardanyan GV, et al. The use of physician-modified stent graft during EVAR in patient with juxtarenal aneurysm. Clinical and Experimental Surgery. Petrovsky Journal. 2022;10(4):16-21 (in Russian)]. DOI:10.33029/2308-1198-2022-10-4-16-21
12. O'Donnell TFX, Boitano LT, Deery SE, et al. Open versus fenestrated endovascular repair of complex abdominal aortic aneurysms. Ann Surg. 2020;271(5):969-77. DOI:10.1097/SLA.0000000000003094
13. Dossabhoy SS, Simons JP, Flahive JM, et al. Fenestrated endovascular aortic aneurysm repair using physician-modified endovascular grafts versus company-manufactured devices. J Vasc Surg. 2018;67(6):1673-83. DOI:10.1016/j.jvs.2017.10.055
14. Gallitto E, Faggioli G, Pini R, et al. Endovascular repair of thoraco-abdominal aortic aneurysms by fenestrated and branched endografts. Eur J Cardiothorac Surg.
2019;56(5):993-1000. DOI:10.1093/ejcts/ezz125
15. Newton DH, Etkin Y, Foley PJ 3rd, et al. Maximizing proximal seal zone in fenestrated endografting: Evolution in the approach to graft configuration. J Vasc Surg. 2020;72(6):1891-6. DOI:10.1016/j.jvs.2020.03.049
________________________________________________
2. Schanzer A, Greenberg RK, Hevelone N, et al. Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair. Circulation. 2011;123(24):2848-55. DOI:10.1161/CIRCULATIONAHA.110.014902
3. Park JH, Chung JW, Choo IW, et al. Fenestrated stent-grafts for preserving visceral arterial branches in the treatment of abdominal aortic aneurysms: Preliminary experience. J Vasc Interv Radiol. 1996;7(6):819-23. DOI:10.1016/S1051-0443(96)70854-0
4. Faruqi RM, Chuter TAM, Reilly LM, et al. Endovascular repair of abdominal aortic aneurysm using a pararenal fenestrated stent-graft. J Endovasc Surg. 1999;6(4):354-8. DOI:10.1177/152660289900600411
5. Locham S, Faateh M, Dhaliwal J, et al. Outcomes and cost of fenestrated versus standard endovascular repair of intact abdominal aortic aneurysm in the United States. J Vasc Surg. 2019;69(4):1036-44.e1. DOI:10.1016/j.jvs.2018.06.211
6. D’Oria M, Galeazzi E, Veraldi GF, et al. Impact of proximal neck anatomy on short-term and mid-term outcomes after treatment of abdominal aortic aneurysms with new-generation low-profile endografts. Results from the multicentric “ITAlian North-East Registry of ENDOvascular Aortic Repair With the BOltOn Treo Endograft (ITA-ENDOBOOT)”. Ann Vasc Surg. 2022;80:37-49. DOI:10.1016/j.avsg.2021.08.059
7. Karathanos C, Spanos K, Kouvelos G, et al. Hostility of proximal aortic neck anatomy in relation to abdominal aortic aneurysm size and its impact on the outcome of endovascular repair with the new generation endografts. J Cardiovasc Surg (Torino). 2020;61(1):60-6. DOI:10.23736/S0021-9509.18.10001-2
8. Brinster CJ, Milner R. Fenestrated endovascular aortic repair and clinical trial devices for complex abdominal aortic aneurysms. J Cardiovasc Surg (Torino). 2018;59(3):342-59. DOI:10.23736/S0021-9509.18.10460-5
9. Mirza AK, Kärkkäinen JM, Tenorio ER, et al. Emergency endovascular repair of symptomatic post-dissection thoraco-abdominal aneurysm using a physician modified fenestrated endograft during the waiting period for a manufactured endograft. EJVES Vasc Forum. 2020;49:11-5. DOI:10.1016/j.ejvsvf.2020.08.003
10. Georgiadis GS, van Herwaarden JA, Antoniou GA, et al. Systematic Review of Off-the-Shelf or Physician-Modified Fenestrated and Branched Endografts. Journal of Endovascular Therapy. 2016;23(1):98-109. DOI:10.1177/1526602815611887
11. Polyakov RS, Puretskiy MV, Mardanyan GV, et al. The use of physician-modified stent graft during EVAR in patient with juxtarenal aneurysm. Clinical and Experimental Surgery. Petrovsky Journal. 2022;10(4):16-21 (in Russian). DOI:10.33029/2308-1198-2022-10-4-16-21
12. O'Donnell TFX, Boitano LT, Deery SE, et al. Open versus fenestrated endovascular repair of complex abdominal aortic aneurysms. Ann Surg. 2020;271(5):969-77. DOI:10.1097/SLA.0000000000003094
13. Dossabhoy SS, Simons JP, Flahive JM, et al. Fenestrated endovascular aortic aneurysm repair using physician-modified endovascular grafts versus company-manufactured devices. J Vasc Surg. 2018;67(6):1673-83. DOI:10.1016/j.jvs.2017.10.055
14. Gallitto E, Faggioli G, Pini R, et al. Endovascular repair of thoraco-abdominal aortic aneurysms by fenestrated and branched endografts. Eur J Cardiothorac Surg.
2019;56(5):993-1000. DOI:10.1093/ejcts/ezz125
15. Newton DH, Etkin Y, Foley PJ 3rd, et al. Maximizing proximal seal zone in fenestrated endografting: Evolution in the approach to graft configuration. J Vasc Surg. 2020;72(6):1891-6. DOI:10.1016/j.jvs.2020.03.049
Авторы
С.А. Абугов1, Г.С. Власко*1, Р.С. Поляков1,2, М.В. Пурецкий1,2, Г.В. Марданян1, А.А. Пиркова1, Д.А. Карамян1, Ш.Г. Чаргазия1, К.А. Кур-ипа1
1ФГБНУ «Российский научный центр хирургии им. акад. Б.В. Петровского», Москва, Россия;
2ГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России, Москва, Россия
*Vlasko13@yandex.ru
1Petrovskiy Russian Research Center of Surgery, Moscow, Russia;
2Russian Medical Academy of Continuous Professional Education, Moscow, Russia
*Vlasko13@yandex.ru
1ФГБНУ «Российский научный центр хирургии им. акад. Б.В. Петровского», Москва, Россия;
2ГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России, Москва, Россия
*Vlasko13@yandex.ru
________________________________________________
1Petrovskiy Russian Research Center of Surgery, Moscow, Russia;
2Russian Medical Academy of Continuous Professional Education, Moscow, Russia
*Vlasko13@yandex.ru
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