Totally laparoscopic assisted thoracic aorta endograft delivery by direct sheath placement into the aorta Sumio Fukui, MD, Frédéric Gigou, MD, Mazda.

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Presentation transcript:

Totally laparoscopic assisted thoracic aorta endograft delivery by direct sheath placement into the aorta Sumio Fukui, MD, Frédéric Gigou, MD, Mazda Daneshvar, MD, Véronique Marteau, MD, Patrick Soury, MD, Marie-Dominique Petit, MD, Claude Laurian, MD Journal of Vascular Surgery Volume 43, Issue 6, Pages 1274-1277 (June 2006) DOI: 10.1016/j.jvs.2006.02.020 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Reconstructed computed tomography scan showing an aneurysm of the distal third part of the descending thoracic aorta. Journal of Vascular Surgery 2006 43, 1274-1277DOI: (10.1016/j.jvs.2006.02.020) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Computed tomography scan of the common iliac arteries showing heavy calcifications. B, Preoperative angiography showing stenotic lesions of the external iliac arteries. Journal of Vascular Surgery 2006 43, 1274-1277DOI: (10.1016/j.jvs.2006.02.020) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Picture showing the sites of trocar insertion. 1, 10-mm trocar for the laparoscope; 2 and 3, 10-mm trocars for operating instruments; 4 and 5, 5-mm trocars for assistant instrumentation and tourniquets; 6, 10-mm trocar for endovascular device; 7, 10-mm trocar for celioscopic aortic clamp. Journal of Vascular Surgery 2006 43, 1274-1277DOI: (10.1016/j.jvs.2006.02.020) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 Picture showing the double purse-string suture, the polytetrafluoroethylene (PTFE) pledget, the tourniquet, and the sheath introduced into the aorta. Journal of Vascular Surgery 2006 43, 1274-1277DOI: (10.1016/j.jvs.2006.02.020) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 5 Operative view showing the sheath introduced into the infrarenal aorta. Journal of Vascular Surgery 2006 43, 1274-1277DOI: (10.1016/j.jvs.2006.02.020) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 6 Reconstructed control computed tomography scan showing the endografts (arrows show the upper and lower limits of the endografts). Journal of Vascular Surgery 2006 43, 1274-1277DOI: (10.1016/j.jvs.2006.02.020) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions