Endovascular treatment of thoracoabdominal aortic aneurysms

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Presentation transcript:

Endovascular treatment of thoracoabdominal aortic aneurysms Eric E. Roselli, MD, Roy K. Greenberg, MD, Kathryn Pfaff, BS, Catherine Francis, BS, Lars G. Svensson, MD, PhD, Bruce W. Lytle, MD The Journal of Thoracic and Cardiovascular Surgery Volume 133, Issue 6, Pages 1474-1482.e1 (June 2007) DOI: 10.1016/j.jtcvs.2006.09.118 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Main body device tethered to delivery system, demonstrating branch fenestrations for the (A) celiac and superior mesenteric arteries and (B) helical branch in antegrade orientation for the celiac artery (posterior view) and a reinforced fenestration for the left renal artery. Also note the posterior tethering sutures in (B). The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1474-1482.e1DOI: (10.1016/j.jtcvs.2006.09.118) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Completion CT scans post procedure. (A) Arterial contrast phase reconstruction of a type II thoracoabdominal aneurysm after repair with a 4-branch reinforced fenestrated device. (B) Noncontrast images reconstructed to demonstrate the in vivo appearance of a stent graft used to treat a type III thoracoabdominal aneurysm using composite device design with a helical celiac branch (purple arrows) and 3 reinforced fenestrated branches (green arrows). The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1474-1482.e1DOI: (10.1016/j.jtcvs.2006.09.118) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Kaplan–Meier estimate of the survival function for freedom from all-cause mortality (black) and aneurysm-related (blue) mortality, with pointwise 95% confidence limits. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1474-1482.e1DOI: (10.1016/j.jtcvs.2006.09.118) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Number and classification of endoleaks by type at each interval of follow up. PD, Predischarge. The Journal of Thoracic and Cardiovascular Surgery 2007 133, 1474-1482.e1DOI: (10.1016/j.jtcvs.2006.09.118) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions