Advanced Endovascular Aortic Program

我们很高兴向您介绍，The Advanced Endovascular Aortic Program在休斯Beplay体育中心敦（Uthealth）的德克萨斯大学健康科学中心（Uthealth）。建立在过去三十年来的广泛经验的基础上，由Drs博士对胸腔和主动脉弓动脉瘤进行开放手术修复。Hazim Safi，Anthony Estrera和Uthealth的团队；先进的血管内主动脉症具有700多种填充和分支的血管内维修的丰富经验，并继续与行业和工程合作伙伴合作发展。我们致力于根据患者护理，研究和教育方面的卓越基础，提供最佳的护理和成果质量。beplay苹果手机能用吗

In terms of active research studies as part of this program, we have two ongoing Physician-Sponsored Investigational Device Exemption (PS-IDE) protocols to evaluate the use of fenestrated and/or branched stent-grafts manufactured by Cook Medical Inc. (Brisbane, Australia). These devices can be manufactured with a broad range of design including combinations of fenestrations, branches and off the shelf options with a multi branched stent-graft for aneurysms and dissections. Both these research studies are approved by our Institutional Review Board for active enrollment of patients with complex aortic aneurysm, providing a broader range of treatment options using total endovascular techniques. Below we have summarized what is already available at our center to treat patients with more challenging anatomy.

可能符合包含的具体情况in the PS-IDE study:

• 胸腔主动脉瘤
• 慢性旋转后胸腔和胸腔主动脉瘤
• Pararenal abdominal aortic aneurysms
• 近距离腹主动脉瘤
• Infrarenal aortic aneurysms with inadequate neck (e.g. short, angulated, conic)
• Aortic arch aneurysms or dissections
• Type IA endoleak or sac enlargement following endovascular aortic repair
• Type IA endoleak or sac enlargement following thoracic endovascular aortic repair
• 开放式外科胸腔主动脉修复后，复发性动脉瘤
• Enlarging aneurysm following ascending repair for Type A dissections

支架移植设计：

胸腔特异性的胸腔式染色和分支支架移植

Anatomical criteria

• Short-neck infra-renal, juxta-renal, suprarenal, thoracoabdominal aortic aneurysms and chronic aortic dissections.

Device design

• Cook Medical Inc.（澳大利亚布里斯班）定制制造的Fenratsated Stent-Graft
• Maximum of five fenestrations with any combination of design, including double or triple wide scallops, pre-loaded renal guide system, pre-loaded catheters for brachial access, and lower-profile fabric

Off the shelf or patient-specific multi-branched and fenestrated-branched stent-grafts

Anatomical criteria

• I型，II，III或IV腹主动脉瘤或迅速扩大的复合腹主动脉瘤或解剖

Device design

• Off-the-shelf, multi-branched stent-graft (t-Branch®) or a physician-specified custom-made thoracoabdominal stent-graft with any combination of up to five fenestrations and/or branches by Cook Medical Inc. (Brisbane, Australia).
• Pre-loaded renal guide system, pre-loaded catheters and lower-profile fabric
• Time for customization averages 4 weeks. Off-the-shelf devices are immediately available.

笔直的iLiac分支设备

解剖标准

• Unilateral or bilateral common iliac artery aneurysms with or without concomitant complex abdominal or thoracoabdominal aortic aneurysms

Device design

• Single straight iliac branch device

单左下锁骨分支

解剖标准

• Distal aortic arch aneurysms or dissections requiring seal in Zone 2

Device design

• Retrograde left subclavian branch with pre-loaded catheter and a triple wide scallop to extent the sealing zone across the origins of the left common carotid and innominate arteries.

拱形支架支架（A分支机构）®）有两个或三个内部分支

解剖标准

• 主动脉弓动脉瘤和解剖，包括A型解剖事先修复后的弓动脉瘤

Device design

• Two or three inner branches

Outcomes:

我们在PS-IDE研究中招收的第一个连续429名患者中的结果包括总体30天死亡率为0.9％，永久性截瘫为1.4％，新发作透析为0.5％，中风为0.7％（请参阅图）。

The team at UTHealth has a longstanding history and experience with management of complex aortic diseases by open surgical techniques. Dr. Oderich brings over two decades of experience as a leader in the field of complex endovascular repair, allowing UTPhysicians and McGovern Medical School to be one of few centers worldwide to offer cutting edge experience with both types of treatment. Our main priority is to provide the best care possible to the patient with the highest standards of quality.

Thank you for your interest in the Advanced Endovascular Aortic Program. Please feel free to contact us if you have any further questions.

接触:
info.ctvs@uth.tmc.edu

6400范宁，套房2850，德克萨斯州休斯敦77030
713.486.5100 tel
713.512-7200 fax