Timothy A. M. Chuter, MD, Bo Risberg, MD, PhD, Brian R

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Presentation transcript:

Clinical experience with a bifurcated endovascular graft for abdominal aortic aneurysm repair Timothy A.M. Chuter, MD, Bo Risberg, MD, PhD, Brian R. Hopkinson, MS, George Wendt, MD, R.Alan P. Scott, MB, ChB, Philip J. Walker, MD, Salvatore Viscomi, BA, Geoffrey White, MD Journal of Vascular Surgery Volume 24, Issue 4, Pages 655-666 (October 1996) DOI: 10.1016/S0741-5214(96)70082-4 Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Delivery system and bifurcated graft with sheath withdrawn showing three catheters that exit through right femoral arteriotomy. These are central carrier of delivery system, left limb catheter (attached to left limb of graft), and cross-femoral catheter. Cross-femoral catheter is used to tow left limb catheter from right femoral artery to left femoral artery, thereby pulling left limb of graft into left iliac artery. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Three-dimensional shaded surface display of spiral CT data showing commonest form of iliac artery tortuosity encountered in this study. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Angiograms before and after Wallstent placement showing elimination of kink in left limb of graft. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Angiograms before and after Wallstent placement showing elimination of kink in left limb of graft. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Series of images that show progress of one patient through preoperative assessment, graft insertion, and postoperative follow-up. A, Preoperative angiogram. B, Preoperative multiplanar reconstruction of spiral CT data. C, Preoperative three-dimensional shaded surface display of spiral CT data. D, Completion angiogram. E, Follow-up angiogram. F, Follow-up three-dimensional shaded surface display of spiral CT data. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Series of images that show progress of one patient through preoperative assessment, graft insertion, and postoperative follow-up. A, Preoperative angiogram. B, Preoperative multiplanar reconstruction of spiral CT data. C, Preoperative three-dimensional shaded surface display of spiral CT data. D, Completion angiogram. E, Follow-up angiogram. F, Follow-up three-dimensional shaded surface display of spiral CT data. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Series of images that show progress of one patient through preoperative assessment, graft insertion, and postoperative follow-up. A, Preoperative angiogram. B, Preoperative multiplanar reconstruction of spiral CT data. C, Preoperative three-dimensional shaded surface display of spiral CT data. D, Completion angiogram. E, Follow-up angiogram. F, Follow-up three-dimensional shaded surface display of spiral CT data. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Series of images that show progress of one patient through preoperative assessment, graft insertion, and postoperative follow-up. A, Preoperative angiogram. B, Preoperative multiplanar reconstruction of spiral CT data. C, Preoperative three-dimensional shaded surface display of spiral CT data. D, Completion angiogram. E, Follow-up angiogram. F, Follow-up three-dimensional shaded surface display of spiral CT data. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Series of images that show progress of one patient through preoperative assessment, graft insertion, and postoperative follow-up. A, Preoperative angiogram. B, Preoperative multiplanar reconstruction of spiral CT data. C, Preoperative three-dimensional shaded surface display of spiral CT data. D, Completion angiogram. E, Follow-up angiogram. F, Follow-up three-dimensional shaded surface display of spiral CT data. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Series of images that show progress of one patient through preoperative assessment, graft insertion, and postoperative follow-up. A, Preoperative angiogram. B, Preoperative multiplanar reconstruction of spiral CT data. C, Preoperative three-dimensional shaded surface display of spiral CT data. D, Completion angiogram. E, Follow-up angiogram. F, Follow-up three-dimensional shaded surface display of spiral CT data. Journal of Vascular Surgery 1996 24, 655-666DOI: (10.1016/S0741-5214(96)70082-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions