{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T12:03:37Z","timestamp":1697803417211},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"11","license":[{"start":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T00:00:00Z","timestamp":1679184000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,3,19]]},"abstract":"<jats:p>Az aorta\u00edvet \u00e9rint\u0151 aortabetegs\u00e9gek miatt v\u00e9gzett endovascularis rekonstrukci\u00f3k\n                    (thoracic endovascular aneurysm repair \u2013 TEVAR) sor\u00e1n a sztentgraft proximalis\n                    r\u00f6gz\u00edt\u00e9se az \u00edvben vagy az aorta ascendensen van. Ilyen esetben hagyom\u00e1nyosan\n                    nyitott m\u0171t\u00e9ttel el\u0151zetesen biztos\u00edtjuk a lefed\u00e9sre ker\u00fcl\u0151 supraaorticus \u00e1gak\n                    kering\u00e9s\u00e9t (\u00fan. \u2019debranching\u2019 m\u0171t\u00e9tek). Nyitott m\u0171t\u00e9tre nem alkalmas betegek\n                    eset\u00e9n azonban az \u00e1gak endovascularis m\u00f3dszerekkel t\u00f6rt\u00e9n\u0151 megtart\u00e1s\u00e1ra\n                    k\u00e9nyszer\u00fcl\u00fcnk. Tanulm\u00e1nyunkban ezen komplex endovascularis\n                    aorta\u00edv-rekonstrukci\u00f3k lehet\u0151s\u00e9geit mutatjuk be. A p\u00e1rhuzamos graftokat\n                    jellemz\u0151en s\u00fcrg\u0151ss\u00e9gi k\u00f6r\u00fclm\u00e9nyek k\u00f6z\u00f6tt alkalmazzuk. Az ascendensen t\u00f6rt\u00e9n\u0151\n                    proximalis r\u00f6gz\u00edt\u00e9s eset\u00e9n a jobb arteria (a.) carotisr\u00f3l ind\u00edtott \u2019debranching\u2019\n                    \u00e9s a truncus brachiocephalicus p\u00e1rhuzamos grafttal t\u00f6rt\u00e9n\u0151 biztos\u00edt\u00e1s\u00e1val\n                    kombin\u00e1lt hibrid m\u0171t\u00e9tet v\u00e9gezt\u00fcnk. L\u00e9tfontoss\u00e1g\u00fa \u00e9r v\u00e9letlen lefed\u00e9s\u00e9vel j\u00e1r\u00f3\n                    TEVAR eset\u00e9n s\u00fcrg\u0151ss\u00e9ggel v\u00e9gezhet\u00fcnk konverzi\u00f3t p\u00e9ld\u00e1ul a bal a. carotis\n                    communis kering\u00e9s\u00e9nek gyors helyre\u00e1ll\u00edt\u00e1s\u00e1ra. A bal a. subclavia el\u0151zetes\n                    revascularisati\u00f3ja n\u00e9lk\u00fcl v\u00e9gzett s\u00fcrg\u0151ss\u00e9gi TEVAR ut\u00e1n ritk\u00e1n jelentkez\u0151 bal\n                    fels\u0151 v\u00e9gtagi ischaemia eset\u00e9n ut\u00f3lagos konverzi\u00f3t v\u00e9gezhet\u00fcnk a bal a.\n                    subclavia lumen\u00e9nek helyre\u00e1ll\u00edt\u00e1s\u00e1ra ugyancsak p\u00e1rhuzamos grafttal. A\n                    kisg\u00f6rb\u00fcleten elhelyezked\u0151, saccularis morfol\u00f3gi\u00e1j\u00fa penetr\u00e1l\u00f3 aortafek\u00e9lyek\n                    sikeres kirekeszt\u00e9s\u00e9t seg\u00edtheti egyedi gy\u00e1rt\u00e1s\u00fa graft alkalmaz\u00e1sa, melyen a\n                    nagyg\u00f6rb\u00fcleten l\u00e9v\u0151 supraaorticus \u00e9rsz\u00e1jad\u00e9k k\u00f6r\u00e9 kiv\u00e1g\u00e1st, \u00fan. \u2019scallop\u2019-ot\n                    helyez\u00fcnk a graft proximalis v\u00e9g\u00e9hez, megn\u00f6velve \u00edgy a proximalis nyak hossz\u00e1t.\n                    Elekt\u00edv k\u00f6r\u00fclm\u00e9nyek k\u00f6z\u00f6tt ugyancsak egyedileg gy\u00e1rtott el\u00e1gaz\u00f3 graftot is\n                    alkalmazhatunk, melynek sor\u00e1n ak\u00e1r mindh\u00e1rom \u00e1g megtarthat\u00f3 az ascendensr\u0151l\n                    indul\u00f3 proximalis r\u00f6gz\u00edt\u00e9s mellett, \u00edgy arra alkalmas anat\u00f3mia eset\u00e9n\n                    endovascularis \u00edvcser\u00e9re is lehet\u0151s\u00e9g\u00fcnk van. Orv Hetil. 2023; 164(11):\n                    426\u2013431.<\/jats:p>","DOI":"10.1556\/650.2023.32716","type":"journal-article","created":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T14:50:45Z","timestamp":1679237445000},"page":"426-431","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Komplex endovascularis rekonstrukci\u00f3k az aorta\u00edven."],"prefix":"10.1556","volume":"164","author":[{"given":"Martin Gell\u00e9rt","family":"Nagy","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Art\u00far","family":"H\u00fcttl","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarolta","family":"Borzs\u00e1k","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikl\u00f3s","family":"P\u00f3los","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Sz\u00edvseb\u00e9szeti Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Szabolcs","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovascularis Tansz\u00e9k Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Sz\u00edvseb\u00e9szeti Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gergely","family":"Csik\u00f3s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Szeberin","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovascularis Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"S\u00f3tonyi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovascularis Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Csobay-Nov\u00e1k","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3giai Tansz\u00e9k Budapest, Hat\u00e1r\u0151r \u00fat 18., 1122 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Aortacentrum Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovascularis Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Abraha I, Romagnoli C, Montedori A, et al. 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