A novel endovascular debranching technique using physician-assembled endografts for repair of thoracoabdominal aneurysms Joe Anderson, Madeline Nykamp,

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Presentation transcript:

A novel endovascular debranching technique using physician-assembled endografts for repair of thoracoabdominal aneurysms Joe Anderson, Madeline Nykamp, Laura Danielson, Tyler Remund, PhD, Patrick W. Kelly, MD Journal of Vascular Surgery Volume 60, Issue 5, Pages 1177-1184 (November 2014) DOI: 10.1016/j.jvs.2014.05.090 Copyright © 2014 The Authors Terms and Conditions

Fig 1 Sequence of constructing (A) the thoracic bifurcation graft (early configuration shown in B), including (C) sewing the common seam and (D) sewing the end-to-end anastomosis between the Valiant and the two Endurant limbs. E, Top view of the thoracic bifurcation showing no gutters. Journal of Vascular Surgery 2014 60, 1177-1184DOI: (10.1016/j.jvs.2014.05.090) Copyright © 2014 The Authors Terms and Conditions

Fig 2 Sequence of construction of (A) the visceral manifold, including (B) sewing a common seam between two shortened Gore Viabahns and (C) sewing the Gore Viabahns to the distal end of a Medtronic Endurant in an end-to-end anastomosis. D, Top view of the visceral manifold showing no gutters. Journal of Vascular Surgery 2014 60, 1177-1184DOI: (10.1016/j.jvs.2014.05.090) Copyright © 2014 The Authors Terms and Conditions

Fig 3 Spiral wire re-constraining technique. Journal of Vascular Surgery 2014 60, 1177-1184DOI: (10.1016/j.jvs.2014.05.090) Copyright © 2014 The Authors Terms and Conditions

Fig 4 A, Demonstration of early concept including an animation of the assembly in a type III thoracoabdominal aortic aneurysm (TAAA). B, Top view of a three-dimensional printed type III TAAA with 4 L/min water flowing to simulate in vivo use. C, Stents in the visceral vessels after simulated use. D, Assembly of all component devices as they would be deployed in vivo. Journal of Vascular Surgery 2014 60, 1177-1184DOI: (10.1016/j.jvs.2014.05.090) Copyright © 2014 The Authors Terms and Conditions