Endovascular Repair of Abdominal Aorta Using Branched Stent Graft in A Novel <i>In Vitro</i> Vascular Model_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LINChen ¹ , LUQing-sheng ² , ZHANGZai-zhong ¹ , LICheng-jin ¹ , XIAYin ¹ ,  JINGZai-ping ² ,  WANGLie ¹

1. Department of General Surgery, Fuzhou General Hospital, PLA Nanjing Military Area Command, Fuzhou 350025, Fujian Province, China;
2. Institute of Vascular Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China;

Corresponding?author：

JINGZai-ping, Email: jingzp@xueguan.net; WANGLie, Email: fzptwk@163.com

Keywords：

Endovascular repair; Branched stent graft; In vitro; Abdominal aorta

DOI：

10.7507/1007-9424.20150242

Video：

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Objective To evaluate the feasibility and security of endovascular repair of abdominal aorta using branched stent graft in a novel in vitro vascular model. Methods The branched stent graft for the abdominal aorta was designed. The novel in vitro vascular model was established to test this stent graft. Attempts were made to optimize the procedure of stent graft and to evaluate the feasibility of this device. The branched stent graft for abdominal aorta was tested by a novel in vitro vascular model. The number of stent graft released and expanded was recorded respectively. The pressure and situation of branch vessels were assessed before and after stent graft released. The endoleak during releasing process was observed by digital subtraction angiography (DSA). Results The stent graft was successfully deployed in the novel in vitro vascular model. The releasing process was all properly achieved (100%, 30/30). The pressure changes of branch vessels were no statistical significances (P > 0.05) between before and after stent graft released. The stent grafts were well landed, and were fully expanded and properly positioned by DSA. No endoleak occurred. Conclusion The branched stent graft for abdominal aorta in a novel in vitro vascular model is safe and feasible.

Citation： LINChen, LUQing-sheng, ZHANGZai-zhong, LICheng-jin, XIAYin, JINGZai-ping, WANGLie. Endovascular Repair of Abdominal Aorta Using Branched Stent Graft in A Novel In Vitro Vascular Model. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(8): 929-932. doi: 10.7507/1007-9424.20150242 Copy

1.	林晨, 陸清聲, 王烈, 等.主動脈弓三分支型移植物在血管模擬裝置中的腔內修復實驗.外科理論與實踐, 2012, 17(2):160-163.
2.	Haulon S, Greenberg RK, Pfaff K, et al. Branched grafting for aortoiliac aneurysms. Eur J Vasc Endovasc Surg, 2007, 33(5):567-574.
3.	Lobato AC, Camacho-Lobato L. The sandwich technique to treat complex aortoiliac or isolated iliac aneurysms:results of midterm follow-up. J Vasc Surg, 2013, 57(2 Suppl):26S-34S.
4.	Moulakakis KG, Mylonas SN, Avgerinos E, et al. The chimney graft technique for preserving visceral vessels during endovascular treatment of aortic pathologies. J Vasc Surg, 2012, 55(5):1497-1503.
5.	Orr N, Minion D, Bobadilla JL. Thoracoabdominal aortic aneurysm repair:current endovascular perspectives. Vasc Health Risk Manag, 2014, 10:493-505.
6.	郭偉.治療髂總動脈瘤的新方法——髂動脈分支支架的應用.中國實用外科雜志, 2009, 29(11):957-958.
7.	谷涌泉, 郭連瑞, 李學鋒, 等.分支型覆膜支架修復腹主、雙髂動脈瘤1例報告.中國微創外科雜志, 2012, 12(6):554-556.
8.	晏明, 郗二平, 朱水波, 等.新型一體兩分支覆膜支架在犬胸主動脈模擬釋放系統內重建主動脈弓的研究.中國循環雜志, 2015, 30(1):76-79.
9.	林晨, 田磊, 郭明金, 等.豬主動脈腔內隔絕術經腹腔入路與腹膜外入路的效果比較.中國現代普通外科進展, 2009, 12(4):330-332.
10.	黃歡, 楊明, 鄔順捷.模擬循環系統中的主動脈流間接測量.上海交通大學學報, 2012, 46(7):1138-1141, 1145.
11.	張敏宏, 郭偉, 劉小平, 等.多分支支架型血管完全腔內修復胸腹主動脈瘤一例.中華普通外科雜志, 2013, 28(11):900-901.
12.	方征東, 符偉國, 王玉琦, 等.主動脈支架移植物感染的診治體會(附4例報道).中國普外基礎與臨床雜志, 2009, 16(6):429-432.
13.	董智慧, 符偉國, 王玉琦, 等.胸主動脈腔內修復術后支架源性新破口——從支架力學損傷角度的思考.中國普外基礎與臨床雜志, 2011, 18(10):1031-1038.
14.	Pandiyaraj KN, Selvarajan V, Rhee YH, et al. Glow discharge plasma-induced immobilization of heparin and insulin on polyethylene terep-hthalate film surfaces enhances anti-thrombogenic properties. Materials Science and Engineering C, 2009, 29(3):796-805.
15.	張云, 張紀蔚, 張柏根.自制國產化支架-移植物腔內治療腹主動脈瘤的實驗研究.中華實驗外科雜志, 2001, 18(3):216-217.

1. 林晨, 陸清聲, 王烈, 等.主動脈弓三分支型移植物在血管模擬裝置中的腔內修復實驗.外科理論與實踐, 2012, 17(2):160-163.
2. Haulon S, Greenberg RK, Pfaff K, et al. Branched grafting for aortoiliac aneurysms. Eur J Vasc Endovasc Surg, 2007, 33(5):567-574.
3. Lobato AC, Camacho-Lobato L. The sandwich technique to treat complex aortoiliac or isolated iliac aneurysms:results of midterm follow-up. J Vasc Surg, 2013, 57(2 Suppl):26S-34S.
4. Moulakakis KG, Mylonas SN, Avgerinos E, et al. The chimney graft technique for preserving visceral vessels during endovascular treatment of aortic pathologies. J Vasc Surg, 2012, 55(5):1497-1503.
5. Orr N, Minion D, Bobadilla JL. Thoracoabdominal aortic aneurysm repair:current endovascular perspectives. Vasc Health Risk Manag, 2014, 10:493-505.
6. 郭偉.治療髂總動脈瘤的新方法——髂動脈分支支架的應用.中國實用外科雜志, 2009, 29(11):957-958.
7. 谷涌泉, 郭連瑞, 李學鋒, 等.分支型覆膜支架修復腹主、雙髂動脈瘤1例報告.中國微創外科雜志, 2012, 12(6):554-556.
8. 晏明, 郗二平, 朱水波, 等.新型一體兩分支覆膜支架在犬胸主動脈模擬釋放系統內重建主動脈弓的研究.中國循環雜志, 2015, 30(1):76-79.
9. 林晨, 田磊, 郭明金, 等.豬主動脈腔內隔絕術經腹腔入路與腹膜外入路的效果比較.中國現代普通外科進展, 2009, 12(4):330-332.
10. 黃歡, 楊明, 鄔順捷.模擬循環系統中的主動脈流間接測量.上海交通大學學報, 2012, 46(7):1138-1141, 1145.
11. 張敏宏, 郭偉, 劉小平, 等.多分支支架型血管完全腔內修復胸腹主動脈瘤一例.中華普通外科雜志, 2013, 28(11):900-901.
12. 方征東, 符偉國, 王玉琦, 等.主動脈支架移植物感染的診治體會(附4例報道).中國普外基礎與臨床雜志, 2009, 16(6):429-432.
13. 董智慧, 符偉國, 王玉琦, 等.胸主動脈腔內修復術后支架源性新破口——從支架力學損傷角度的思考.中國普外基礎與臨床雜志, 2011, 18(10):1031-1038.
14. Pandiyaraj KN, Selvarajan V, Rhee YH, et al. Glow discharge plasma-induced immobilization of heparin and insulin on polyethylene terep-hthalate film surfaces enhances anti-thrombogenic properties. Materials Science and Engineering C, 2009, 29(3):796-805.
15. 張云, 張紀蔚, 張柏根.自制國產化支架-移植物腔內治療腹主動脈瘤的實驗研究.中華實驗外科雜志, 2001, 18(3):216-217.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Endovascular Repair of Abdominal Aorta Using Branched Stent Graft in A Novel In Vitro Vascular Model

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