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, 陆清声, 王烈, 等.主动脉弓三分支型移植物在血管模拟装置中的腔内修复实验.外科理论与实践, 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.	郭伟.治疗髂总动脉瘤的新方法——髂动脉分支支架的应用.中国实用外科杂志, 2009, 29(11):957-958.
7.	谷涌泉, 郭连瑞, 李学锋, 等.分支型覆膜支架修复腹主、双髂动脉瘤1例报告.中国微创外科杂志, 2012, 12(6):554-556.
8.	晏明, 郗二平, 朱水波, 等.新型一体两分支覆膜支架在犬胸主动脉模拟释放系统内重建主动脉弓的研究.中国循环杂志, 2015, 30(1):76-79.
9.	林晨, 田磊, 郭明金, 等.猪主动脉腔内隔绝术经腹腔入路与腹膜外入路的效果比较.中国现代普通外科进展, 2009, 12(4):330-332.
10.	黄欢, 杨明, 邬顺捷.模拟循环系统中的主动脉流间接测量.上海交通大学学报, 2012, 46(7):1138-1141, 1145.
11.	张敏宏, 郭伟, 刘小平, 等.多分支支架型血管完全腔内修复胸腹主动脉瘤一例.中华普通外科杂志, 2013, 28(11):900-901.
12.	方征东, 符伟国, 王玉琦, 等.主动脉支架移植物感染的诊治体会(附4例报道).中国普外基础与临床杂志, 2009, 16(6):429-432.
13.	董智慧, 符伟国, 王玉琦, 等.胸主动脉腔内修复术后支架源性新破口——从支架力学损伤角度的思考.中国普外基础与临床杂志, 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.	张云, 张纪蔚, 张柏根.自制国产化支架-移植物腔内治疗腹主动脉瘤的实验研究.中华实验外科杂志, 2001, 18(3):216-217.

1. 林晨, 陆清声, 王烈, 等.主动脉弓三分支型移植物在血管模拟装置中的腔内修复实验.外科理论与实践, 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. 郭伟.治疗髂总动脉瘤的新方法——髂动脉分支支架的应用.中国实用外科杂志, 2009, 29(11):957-958.
7. 谷涌泉, 郭连瑞, 李学锋, 等.分支型覆膜支架修复腹主、双髂动脉瘤1例报告.中国微创外科杂志, 2012, 12(6):554-556.
8. 晏明, 郗二平, 朱水波, 等.新型一体两分支覆膜支架在犬胸主动脉模拟释放系统内重建主动脉弓的研究.中国循环杂志, 2015, 30(1):76-79.
9. 林晨, 田磊, 郭明金, 等.猪主动脉腔内隔绝术经腹腔入路与腹膜外入路的效果比较.中国现代普通外科进展, 2009, 12(4):330-332.
10. 黄欢, 杨明, 邬顺捷.模拟循环系统中的主动脉流间接测量.上海交通大学学报, 2012, 46(7):1138-1141, 1145.
11. 张敏宏, 郭伟, 刘小平, 等.多分支支架型血管完全腔内修复胸腹主动脉瘤一例.中华普通外科杂志, 2013, 28(11):900-901.
12. 方征东, 符伟国, 王玉琦, 等.主动脉支架移植物感染的诊治体会(附4例报道).中国普外基础与临床杂志, 2009, 16(6):429-432.
13. 董智慧, 符伟国, 王玉琦, 等.胸主动脉腔内修复术后支架源性新破口——从支架力学损伤角度的思考.中国普外基础与临床杂志, 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. 张云, 张纪蔚, 张柏根.自制国产化支架-移植物腔内治疗腹主动脉瘤的实验研究.中华实验外科杂志, 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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