Pulmonary Artery Sealing With an Ultrasonic Energy Device in Video-Assisted Thoracoscopic Surgery Lobectomy: An Animal Survival Study Eric Goudie, MD,

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Presentation transcript:

Pulmonary Artery Sealing With an Ultrasonic Energy Device in Video-Assisted Thoracoscopic Surgery Lobectomy: An Animal Survival Study Eric Goudie, MD, Mohamed Khereba, MB BCh, Mehdi Tahiri, MD, Pravachan Hegde, MD, Vicky Thiffault, RN, Rachid Hadjeres, MD, Jérémie Berdugo, MD, Pasquale Ferraro, MD, Moishe Liberman, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 4, Pages 1088-1094 (October 2016) DOI: 10.1016/j.athoracsur.2016.04.050 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 In vivo measurement of a pulmonary artery branch. The Annals of Thoracic Surgery 2016 102, 1088-1094DOI: (10.1016/j.athoracsur.2016.04.050) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Pathology of the sealed pulmonary artery (PA) branches at 30 days. (A) Hematoxylin and eosin stained section (magnification 4×) of a PA branch at low power shows intimal obliterative fibrosis and neovascularization. (B) Hematoxylin and eosin stained section (magnification 20×) of a PA branch at high power shows mild thermal changes in the media and in the adventitia. The Annals of Thoracic Surgery 2016 102, 1088-1094DOI: (10.1016/j.athoracsur.2016.04.050) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Size comparison of instrument tips. Top: Endopath ETS 35 mm (Ethicon, Cincinnati, OH). Bottom: HARMONIC ACE +7 Shears with Advanced Hemostasis (ACE; Ethicon). The Annals of Thoracic Surgery 2016 102, 1088-1094DOI: (10.1016/j.athoracsur.2016.04.050) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Application of the ACE (Ethicon, Cincinnati, OH) on a 10-mm pulmonary artery branch with undue tension and torque. The Annals of Thoracic Surgery 2016 102, 1088-1094DOI: (10.1016/j.athoracsur.2016.04.050) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions