关键词: Aortic arch replacement Aortic team Debranching of supra-aortic vessels Elephant trunk Frozen elephant trunk Hybrid procedure Total endovascular repair

来  源:   DOI:10.1007/s12055-024-01704-x   PDF(Pubmed)

Abstract:
The treatment of aortic arch pathologies is becoming progressively more complex and multidisciplinary. Despite progresses in open surgical techniques, the high rate of surgical morbidity and mortality, especially in frail and elderly patients, has led to the development of alternative treatment options to conventional open surgery such as hybrid and endovascular procedures. Our purpose is to summarize the advantages and disadvantages of the different approaches and investigate the role of a dedicated aortic team in the choice of the most appropriate treatment for each patient.
摘要:
主动脉弓病变的治疗正变得越来越复杂和多学科。尽管开放手术技术取得了进展,手术发病率和死亡率高,特别是在虚弱和老年患者中,已经导致了替代治疗方案的发展,传统的开放手术,如混合和血管内手术。我们的目的是总结不同方法的优缺点,并研究专门的主动脉团队在为每位患者选择最合适的治疗方法中的作用。
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