Ovation覆膜支架系统介绍及临床应用
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摘要
腔内成形术已经成为具有适应证的腹主动脉瘤的首选治疗方式,但由于器材和患者本身血管解剖的限制,许多患者不能行腔内修复术。而采用模组理念设计的全新ovation覆膜支架系统,在近期的临床研究中表现出了良好的安全性和有效性,使得对具有复杂的血管解剖的患者行腔内修复术成为可能。本文就Ovation覆膜支架系统及其目前在临床上的应用情况进行一综述。
Endovascular aneurysm repair(EVAR) has become the preferred treatment for infrarenal abdominal aortic aneurysms(AAAs) with indications. However, because of the limitation of the apparatus and the vascular anatomy of individual patient there are, in clinical practice, still many patients who are not able to receive EVAR. Recently, a new ovation covered- stent system, which is designed on the basis of module concept, has showed good safety and effectiveness in clinical researches, which makes it possible to perform EVAR in patients with complex vascular anatomy. This paper aims to make a comprehensive introduction of ovation covered- stent system and to make a brief review about its clinical application.
Endovascular aneurysm repair(EVAR) has become the preferred treatment for infrarenal abdominal aortic aneurysms(AAAs) with indications. However, because of the limitation of the apparatus and the vascular anatomy of individual patient there are, in clinical practice, still many patients who are not able to receive EVAR. Recently, a new ovation covered- stent system, which is designed on the basis of module concept, has showed good safety and effectiveness in clinical researches, which makes it possible to perform EVAR in patients with complex vascular anatomy. This paper aims to make a comprehensive introduction of ovation covered- stent system and to make a brief review about its clinical application.
引文
[1]禹纪红,黄连军,蒋世良,等.腔内隔绝术治疗高风险腹主动脉瘤[J].介入放射学杂志,2010,19:287-290.
[2]廖登辉,叶财盛,李松奇,等.覆膜支架治疗12例假性动脉瘤的体会[J].介入放射学杂志,2012,21:374-376.
[3]Propper BW,Abularrage CJ.Long-term safety and efficacy of endovascular abdominal aortic aneurysm repair[J].Vasc Health Risk Manag,2013,9:135-141.
[4]王精兵,程永德.重视覆膜支架在外周血管病中的应用[J].介入放射学杂志,2007,16:577-579.
[5]刘暴,刘昌伟.腹主动脉瘤腔内治疗的适应证——我们是不是走得太远?[J].中国微创外科杂志,2013,13:772-773,784.
[6]王豪夫,王曰伟,李君,等.腹主动脉瘤腔内修复术22例围手术期处理回顾性总结[J].介入放射学杂志,2010,19:858-861.
[7]熊斌,梁惠民,郑传胜,等.覆膜支架在外周动脉瘤及动脉夹层治疗中的应用[J].介入放射学杂志,2013,22:31-35.
[8]Krajcer Z.Tri Vascular Ovation誖:it’s role in solving current endograft deficiencies.[J].J Cardiovasc Surg(Torino),2015,56:325-329.
[9]Yao JS,Eskandari MK,Parodia J.Transfemoral intraluminal graft implantation for abdominal aortic aneurysms,1991:two decades later[J].Ann Vasc Surg,2012,26:895-905.
[10]王深明,姚陈.腹主动脉瘤血管腔内治疗的现状与进展[J].中国普外基础与临床杂志,2014,21:657-659.
[11]Moulakakis KG,Dalainas I,Kakisis J,et al.Current knowledge on EVAR with the ultra-low profile Ovation abdominal stentgraft system[J].J Cardiovasc Surg(Torino),2012,53:427-432.
[12]Georgakarakos E,Ioannou CV,Trellopoulos G,et al.Immediate change in suprarenal neck angulation after endovascular aneurysm repair:comparison of the Ovation stent-graft inflatable sealing rings to a conventional self-expanding stent-graft[J].J Endovasc Ther,2015,22:613-619.
[13]Massmann A,Serracino-Inglott F,Buecker A.Endovascular aortic repair with the chimney technique using the ultra low-profile Ovation stent-graft for juxtarenal aneurysms having small iliac access vessels[J].Cardiovasc Intervent Radiol,2014,37:488-492.
[14]Mangialardi N,Ronchey S,Kasemi H,et al.Percutaneous endovascular aneurysm repair with the ultra-low profile Ovation abdominal stent-graft system[J].J Cardiovasc Surg(Torino),2013,54:581-587.
[15]Carrafiello G,Ierardi A,Piffaretti G,et al.Treatment of abdominal aortic aneurysm with a new type of polymer-filled low profile device[J].Int J Surg,2013,11:S24-S29.
[16]Nano G,Mazzaccaro D,Stegher S,et al.Early experience with Ovation endograft system in abdominal aortic disease[J].J Cardiothorac Surg,2014,9:48.
[17]Mehta M,Valdes FE,Nolte T,et al.One-year outcomes from an international study of the Ovation Abdominal Stent Graft System for endovascular aneurysm repair[J].J Vasc Surg,2014,59:65-73.
[18]Ioannou CV,Kontopodis N,Kehagias E,et al.Endovascular aneurysm repair with the Ovation Tri Vascular Stent-Graft System utilizing a predominantly percutaneous approach under local anaesthesia[J].Br J Radiol,2015,88:20140735.
[19]Gandini R,D el Giudice C,Abrignani S,et al.Inexplicable late type ia endoleak associated with the low-profile Ovation endograft in a patient with favorable neck anatomy:treatment with transcaval coil embolization[J].J Endovasc Ther,2015,22:426-430.
[20]Georgakarakos E,Schoretsanitis N,Souftas VD,et al.Emergent conversion of the Ovation Stent Graft System to aortouniiliac modification via occlusion of a unilateral internal iliac artery with a stentgraft as a bailout solution[J].Vascular,2015,23:440-443.
[21]Kehagias E,Kontopodis N,Tsetis D,et al.Bifurcated aortoiliac endograft limb occlusion during deployment and its bailout conversion using the external iliac artery to internal iliac artery endograft technique[J].Ann Vasc Surg,2015,29:1029-1034.
[22]Sfyroeras GS,Moulakakis KG,Antonopoulos CN,et al.Anaphylactic reaction during implantation of the Ovation Stent Graft system in a patient with abdominal aortic aneurysm[J].J Endovasc Ther,2015,22:620-622.
[23]Demanget N,Duprey A,Badel P,et al.Finite element analysis of the mechanical performances of 8 marketed aortic stent-grafts[J].J Endovasc Ther,2013,20:523-535.
[24]Demanget N,Avril S,Badel P,et al.Computational comparison of the bending behavior of aortic stent-grafts[J].J Mech Behav Biomed Mater,2012,5:272-282.
[25]Verhoeven BA,Waasdorp EJ,Gorrepati ML,et al.Long-term results of talent endografts for endovascular abdominal aortic aneurysm repair[J].J Vasc Surg,2011,53:293-298.
[26]Sweet MP,Fillinger MF,Morrison TM,et al.The influence of gender and aortic aneurysm size on eligibility for endovascular abdominal aortic aneurysm repair[J].J Vasc Surg,2011,54:931-937.
[27]Georgiadis GS,Charalampidis D,Georgakarakos EI,et al.Open conversion after endovascular aortic aneurysm repair with the ovation prime endograft[J].Int J Artif Organs,2014,37:177-181.
[28]Ioannou CV,Kontopodis N,Metaxa E,et al.Graft inflow stenosis induced by the inflatable ring fixation mechanism of the Ovation stent-graft system:hemodynamic and clinical implications[J].JEndovasc Ther,2014,21:829-838.
[2]廖登辉,叶财盛,李松奇,等.覆膜支架治疗12例假性动脉瘤的体会[J].介入放射学杂志,2012,21:374-376.
[3]Propper BW,Abularrage CJ.Long-term safety and efficacy of endovascular abdominal aortic aneurysm repair[J].Vasc Health Risk Manag,2013,9:135-141.
[4]王精兵,程永德.重视覆膜支架在外周血管病中的应用[J].介入放射学杂志,2007,16:577-579.
[5]刘暴,刘昌伟.腹主动脉瘤腔内治疗的适应证——我们是不是走得太远?[J].中国微创外科杂志,2013,13:772-773,784.
[6]王豪夫,王曰伟,李君,等.腹主动脉瘤腔内修复术22例围手术期处理回顾性总结[J].介入放射学杂志,2010,19:858-861.
[7]熊斌,梁惠民,郑传胜,等.覆膜支架在外周动脉瘤及动脉夹层治疗中的应用[J].介入放射学杂志,2013,22:31-35.
[8]Krajcer Z.Tri Vascular Ovation誖:it’s role in solving current endograft deficiencies.[J].J Cardiovasc Surg(Torino),2015,56:325-329.
[9]Yao JS,Eskandari MK,Parodia J.Transfemoral intraluminal graft implantation for abdominal aortic aneurysms,1991:two decades later[J].Ann Vasc Surg,2012,26:895-905.
[10]王深明,姚陈.腹主动脉瘤血管腔内治疗的现状与进展[J].中国普外基础与临床杂志,2014,21:657-659.
[11]Moulakakis KG,Dalainas I,Kakisis J,et al.Current knowledge on EVAR with the ultra-low profile Ovation abdominal stentgraft system[J].J Cardiovasc Surg(Torino),2012,53:427-432.
[12]Georgakarakos E,Ioannou CV,Trellopoulos G,et al.Immediate change in suprarenal neck angulation after endovascular aneurysm repair:comparison of the Ovation stent-graft inflatable sealing rings to a conventional self-expanding stent-graft[J].J Endovasc Ther,2015,22:613-619.
[13]Massmann A,Serracino-Inglott F,Buecker A.Endovascular aortic repair with the chimney technique using the ultra low-profile Ovation stent-graft for juxtarenal aneurysms having small iliac access vessels[J].Cardiovasc Intervent Radiol,2014,37:488-492.
[14]Mangialardi N,Ronchey S,Kasemi H,et al.Percutaneous endovascular aneurysm repair with the ultra-low profile Ovation abdominal stent-graft system[J].J Cardiovasc Surg(Torino),2013,54:581-587.
[15]Carrafiello G,Ierardi A,Piffaretti G,et al.Treatment of abdominal aortic aneurysm with a new type of polymer-filled low profile device[J].Int J Surg,2013,11:S24-S29.
[16]Nano G,Mazzaccaro D,Stegher S,et al.Early experience with Ovation endograft system in abdominal aortic disease[J].J Cardiothorac Surg,2014,9:48.
[17]Mehta M,Valdes FE,Nolte T,et al.One-year outcomes from an international study of the Ovation Abdominal Stent Graft System for endovascular aneurysm repair[J].J Vasc Surg,2014,59:65-73.
[18]Ioannou CV,Kontopodis N,Kehagias E,et al.Endovascular aneurysm repair with the Ovation Tri Vascular Stent-Graft System utilizing a predominantly percutaneous approach under local anaesthesia[J].Br J Radiol,2015,88:20140735.
[19]Gandini R,D el Giudice C,Abrignani S,et al.Inexplicable late type ia endoleak associated with the low-profile Ovation endograft in a patient with favorable neck anatomy:treatment with transcaval coil embolization[J].J Endovasc Ther,2015,22:426-430.
[20]Georgakarakos E,Schoretsanitis N,Souftas VD,et al.Emergent conversion of the Ovation Stent Graft System to aortouniiliac modification via occlusion of a unilateral internal iliac artery with a stentgraft as a bailout solution[J].Vascular,2015,23:440-443.
[21]Kehagias E,Kontopodis N,Tsetis D,et al.Bifurcated aortoiliac endograft limb occlusion during deployment and its bailout conversion using the external iliac artery to internal iliac artery endograft technique[J].Ann Vasc Surg,2015,29:1029-1034.
[22]Sfyroeras GS,Moulakakis KG,Antonopoulos CN,et al.Anaphylactic reaction during implantation of the Ovation Stent Graft system in a patient with abdominal aortic aneurysm[J].J Endovasc Ther,2015,22:620-622.
[23]Demanget N,Duprey A,Badel P,et al.Finite element analysis of the mechanical performances of 8 marketed aortic stent-grafts[J].J Endovasc Ther,2013,20:523-535.
[24]Demanget N,Avril S,Badel P,et al.Computational comparison of the bending behavior of aortic stent-grafts[J].J Mech Behav Biomed Mater,2012,5:272-282.
[25]Verhoeven BA,Waasdorp EJ,Gorrepati ML,et al.Long-term results of talent endografts for endovascular abdominal aortic aneurysm repair[J].J Vasc Surg,2011,53:293-298.
[26]Sweet MP,Fillinger MF,Morrison TM,et al.The influence of gender and aortic aneurysm size on eligibility for endovascular abdominal aortic aneurysm repair[J].J Vasc Surg,2011,54:931-937.
[27]Georgiadis GS,Charalampidis D,Georgakarakos EI,et al.Open conversion after endovascular aortic aneurysm repair with the ovation prime endograft[J].Int J Artif Organs,2014,37:177-181.
[28]Ioannou CV,Kontopodis N,Metaxa E,et al.Graft inflow stenosis induced by the inflatable ring fixation mechanism of the Ovation stent-graft system:hemodynamic and clinical implications[J].JEndovasc Ther,2014,21:829-838.