A 'through-and-through bowing technique' for antegrade thoracic endovascular aneurysm repair with total arch debranching: a technical note and the initial results

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Kiyohito YamamotoAkihiko Usui

Abstract

The aim of this study was to evaluate the deployment accuracy of a new 'through-and-through bowing technique' that involves the deployment of the stent graft with total arch debranching via median sternotomy. The migration distance, patients' demographic characteristics, operative values and the postoperative complications were examined retrospectively. From November 2012 to February 2013, 5 patients with an aortic arch aneurysm underwent total debranching and antegrade thoracic endovascular aneurysm repair (TEVAR) (control group). Fifteen patients underwent placement using the 'through-and-through bowing technique' (bowing group) from March to November 2013. The device was deployed as follows. A stiff guide wire was passed through the debranching prosthesis via the femoral artery. By pushing the bilateral ends of the wire against the aortic arch, the device was located along the greater curvature and bent like a bow. The migration distance, defined as the distance between the pre- and post-deployment positions of the distal end of the stent graft, was measured using fluoroscopic images. There were no significant differences with respect to the patients' demographics or the operative variables between the two groups. The mean m...Continue Reading

References

Jun 30, 2004·The Annals of Thoracic Surgery·Lars G SvenssonDelos M Cosgrove
Sep 5, 2006·Journal of Vascular Surgery·Hossam M Saleh, Luigi Inglese
Dec 6, 2006·Journal of Vascular Surgery·David H StoneRichard P Cambria
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Aug 9, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Emanuele FerreroFranco Nessi
Mar 14, 2012·The Thoracic and Cardiovascular Surgeon·Levent YilikAli Gurbuz
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Mar 22, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ernst WeigangChristian-Friedrich Vahl

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Citations

Mar 14, 2018·The Journal of Cardiovascular Surgery·Cornelis P van der ZeeTryfon Vainas
Oct 24, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Takashi MurakamiToshihiko Shibata
Mar 29, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Hiroshi BannoKimihiro Komori

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