ꯆꯦꯁ꯭ꯇꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯃꯥ? ꯇꯦꯚꯥꯔ ꯂꯥꯌꯦꯡ (ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯟꯗꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯔꯤꯄꯦꯌꯥꯔ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨꯒꯤ ꯃꯔꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯕ꯭ꯔꯥ? ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯑꯦꯑꯣꯔꯇꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏ ꯆꯦꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤꯒꯤ ꯋꯥꯜ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯕꯦꯂꯨꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯦꯗꯤꯀꯦꯂꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯑꯔꯤꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯅꯥ ꯊꯣꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯦꯂꯨꯟ ꯑꯁꯤ ꯐꯨꯝꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁꯀꯤ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯧꯖꯤꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯦ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯇꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫

ꯇꯦꯚꯥꯔ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, TEVAR (ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯟꯗꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯔꯤꯄꯦꯌꯥꯔ) ꯑꯁꯤ ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯣꯗꯔꯟ, ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫

ꯃꯃꯥꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯆꯧꯕꯥ, ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯂꯥꯌꯦꯡꯂꯝꯃꯤ, ꯃꯁꯤꯗꯥ ꯆꯦꯁ꯭ꯠ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯌꯥꯑꯣꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯄꯤꯇꯤꯇꯤꯕ ꯑꯣꯏ, ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯪꯏ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯍꯧꯖꯤꯛꯇꯤ ꯀ꯭ꯕꯥꯂꯤꯐꯥꯏ ꯑꯣꯏꯔꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇꯦꯚꯥꯔꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯈꯅꯒꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯀꯨꯏꯅꯥ ꯂꯩ, ꯑꯆꯧꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯩ ꯑꯃꯁꯨꯡ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯦꯅꯥꯇꯣꯃꯤꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯇꯦꯚꯥꯔ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯁꯤ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯒꯦ?

ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯇꯦꯚꯥꯔ ꯃꯦꯊꯗ ꯑꯁꯤ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯛꯀꯅꯤ . ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ:

• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯁꯤꯖꯤꯟꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯇꯥꯀꯄꯒꯨꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯛ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯃꯈꯣꯌꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯃꯍꯥꯛꯀꯤ ꯄꯥꯎꯇꯥꯛ ꯃꯇꯨꯡꯏꯟꯅꯥ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯄ꯭ꯔꯤ-ꯑꯣꯄꯔꯦꯇꯤꯕ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯁꯤ.ꯇꯤ . ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯁꯝꯅꯔꯤꯕꯥ ꯑꯇꯩ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯁꯥꯏꯖ, ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯊ꯭ꯔꯤ-ꯗꯤꯃꯦꯟꯁꯤꯑꯦꯜ ꯏꯃꯦꯖ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ TEVAR ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯂꯥꯏꯌꯦꯡꯕꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯊꯤꯟ ꯇꯨꯕ (ꯀꯦꯇꯦꯇꯔ) ꯑꯗꯨ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯌꯥꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯃꯐꯝ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇꯤꯎꯕ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯒ꯭ꯔꯨꯏꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯅꯕꯥ ꯐꯦꯃꯣꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯗꯤꯄꯣꯖꯤꯠ (ꯄ꯭ꯂꯦꯛ)ꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯊꯤꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯄ꯭ꯂꯥꯟ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯁꯤ.ꯇꯤ.

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯑꯆꯨꯝꯕꯥ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯟꯇ ꯒ꯭ꯔꯥꯐꯇꯀꯤ ꯃꯈꯜ ꯑꯗꯨ ꯈꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯇꯦꯚꯥꯔ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯈꯠꯂꯤ:

1. ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ: ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯗꯦꯁꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

2. ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤꯗꯃꯛꯇꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ: 1.1.ꯀꯦꯁ ꯈꯔꯗꯗꯤ (ꯃꯤ ꯈꯨꯗꯤꯡꯃꯛ ꯅꯠꯇꯦ), ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯗꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯒꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯈꯔꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯊꯤꯟ ꯇꯨꯕ (ꯂꯝꯕꯔ ꯗ꯭ꯔꯦꯟ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫

3. ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ (small incision): ꯈꯣꯡꯒꯤ ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥꯗꯥ, ꯐꯦꯃꯣꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫

4. ꯇꯤꯎꯕ ꯑꯗꯨ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯕꯥ: ꯏꯅꯁꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ (guide wire) ꯑꯃꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯧꯔꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯅꯨꯡꯗꯥ ꯁ꯭ꯇꯦꯟꯇ ꯒ꯭ꯔꯥꯐ ꯑꯃꯥ ꯂꯩꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯋꯥꯏꯔꯞ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯊꯥꯏ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦꯒꯨꯝꯕꯥ ꯇꯦꯛꯅꯤꯛ ( ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ ) ꯑꯃꯒꯤ ꯂꯃꯖꯤꯡ ꯃꯈꯥꯗꯥ ꯇꯧꯏ꯫

5. ꯁ꯭ꯇꯦꯟꯇ ꯊꯝꯕꯥ: ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯃꯖꯤꯡꯏ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯒ꯭ꯔꯥꯐ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤ ꯁ꯭ꯞꯔꯤꯡ ꯑꯃꯒꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯆꯦꯠꯅꯥ ꯆꯦꯜꯂꯤ꯫

6. ꯐꯉ꯭ꯀꯁꯟ: ꯁ꯭ꯇꯦꯟꯇ ꯒ꯭ꯔꯥꯐ ꯑꯁꯤꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤꯗꯃꯛꯇꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯅꯤꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤ꯫ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯒꯤ ꯀꯦꯁꯇꯥ, ꯑꯅꯧꯕꯥ ꯂꯥꯏꯅꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯏꯗꯒꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯒꯤ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯀꯄꯥ ꯊꯤꯡꯏ꯫

7. ꯁꯔꯖꯔꯤ꯫

ꯃꯍꯧꯁꯥꯅꯥ, ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯅꯤ ꯆꯪꯏ꯫

ꯇꯦꯚꯥꯔ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯍꯥꯌꯔꯤꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤꯗꯒꯤ ꯇꯦꯚꯥꯔ ꯃꯦꯊꯗ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯄꯥꯝꯃꯤ꯫

• ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯨꯏꯔꯦ꯫
• ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯔꯀꯏ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯏ꯫
• ꯃꯁꯤꯒꯤ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯐꯂꯁꯤꯡ ꯂꯩ꯫
• ꯑꯀꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯅꯦꯝꯃꯤ (TEVARꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 98% ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ, ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ 88%-94%ꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ)꯫
• ꯑꯇꯣꯞꯄꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯍꯟꯊꯔꯀꯄꯗꯒꯤ (end-organ ischemia) ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯃꯤ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯌꯥꯎꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫

• ꯑꯦꯟꯗꯣꯂꯤꯛ (Endoleak): ꯁ꯭ꯇꯦꯟꯇ ꯒ꯭ꯔꯥꯐꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯏꯅꯐꯦꯛꯁꯟ: ꯁꯔꯖꯤꯀꯦꯜ ꯁꯥꯏꯠꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫
• ꯒ꯭ꯔꯥꯐꯠ ꯃꯨꯚꯃꯦꯟꯇ: ꯊꯃꯈꯤꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨꯗꯒꯤ ꯈꯔꯥ ꯆꯪꯁꯤꯜꯂꯤ꯫
• ꯄꯦꯔꯥꯞꯂꯦꯖꯤꯌꯥ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯐꯉ꯭ꯀꯁꯟ ꯃꯥꯡꯈꯤꯕꯥ꯫
• ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯂꯩꯕꯥ꯫

ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯈꯠꯄꯥ ꯌꯥꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯔꯤꯀꯣꯚꯔꯤ ꯑꯃꯁꯨꯡ ꯐꯣꯂꯣ-ꯑꯞ ꯇꯧꯕꯥ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯂꯩꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯦꯒꯨꯂꯥꯔ ꯋꯥꯔꯗ ꯑꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯒꯅꯤ꯫ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ:

• ꯅꯨꯃꯤꯠ 1-2ꯅꯤ ꯐꯥꯎꯕꯥ ꯗ꯭ꯔꯥꯏꯚꯔ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯒ꯭ꯔꯣꯏꯟ ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯇꯕ ꯑꯃꯗꯥ ꯆꯪꯒꯅꯨ (ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ)꯫
• ꯅꯨꯃꯤꯠ 1-2ꯅꯤ ꯐꯥꯎꯕꯥ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 5ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ (e.g., ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ) ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ (e.g., ꯃꯥꯌꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯣꯀꯄꯥ, ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯋꯥꯕꯥ)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫