Presentation is loading. Please wait.

Presentation is loading. Please wait.

Aortic arch aneurysm repair using the Najuta stent graft in a challenging compromised seal zone  Naoki Toya, MD, Kota Shukuzawa, MD, Soichiro Fukushima,

Published byMelvyn Patrick Modified over 6 years ago

Similar presentations

Presentation on theme: "Aortic arch aneurysm repair using the Najuta stent graft in a challenging compromised seal zone  Naoki Toya, MD, Kota Shukuzawa, MD, Soichiro Fukushima,"— Presentation transcript:

1 Aortic arch aneurysm repair using the Najuta stent graft in a challenging compromised seal zone 
Naoki Toya, MD, Kota Shukuzawa, MD, Soichiro Fukushima, MD, Masamichi Momose, MD, Tadashi Akiba, MD, Takao Ohki, MD  Journal of Vascular Surgery Cases  Volume 2, Issue 1, Pages (March 2016) DOI: /j.jvsc Copyright © 2016 The Authors Terms and Conditions

2 Fig 1 A, Preoperative contrast-enhanced computed tomography (CT) showed a rapidly growing aneurysm in the distal arch involving the left subclavian artery (LSCA) with a short proximal neck and right axillofemoral (Ax-F) bypass (arrow). a, Aneurysm; b, Dacron tube graft; c, innominate artery. B, The Najuta fenestrated stent graft is a customized fenestrated device comprising a self-expandable stainless steel Z-stent and an expanded polytetrafluoroethylene graft. C, A fenestration of the Najuta to the innominate artery (arrow). D, Surgical strategy (schema); white arrow, guiding sheath; black arrow, delivery sheath of the Najuta. Journal of Vascular Surgery Cases 2016 2, 21-24DOI: ( /j.jvsc ) Copyright © 2016 The Authors Terms and Conditions

3 Fig 2 The first fenestration was opened from the first marker to the second marker, and the second fenestration was opened between the second marker and the third marker. A, Before deployment (arrows, markers). B, After deployment (arrows, markers). Journal of Vascular Surgery Cases 2016 2, 21-24DOI: ( /j.jvsc ) Copyright © 2016 The Authors Terms and Conditions

4 Fig 3 A and B, Follow-up contrast-enhanced computed tomography (CT) showed accurate device fixation, no major endoleak, and patency of the innominate artery and debranching bypass. C and D, A customized full-scale Najuta stent graft model was deployed to the plaster model before thoracic endovascular aneurysm repair (TEVAR). E and F, The final appearance of the Najuta. Journal of Vascular Surgery Cases 2016 2, 21-24DOI: ( /j.jvsc ) Copyright © 2016 The Authors Terms and Conditions

Download ppt "Aortic arch aneurysm repair using the Najuta stent graft in a challenging compromised seal zone  Naoki Toya, MD, Kota Shukuzawa, MD, Soichiro Fukushima,"

Similar presentations

R. Huilgol, H. Verhagen, J.P. Harris, G.H. White 

R. Huilgol, H. Verhagen, J.P. Harris, G.H. White 
Directional tip control technique for optimal stent graft alignment in angulated proximal aortic landing zones  Toshio Takayama, MD, PhD, Patrick J. Phelan,

Directional tip control technique for optimal stent graft alignment in angulated proximal aortic landing zones  Toshio Takayama, MD, PhD, Patrick J. Phelan,
A new staged hybrid total arch repair procedure using a branched proximal elephant trunk technique with implantation of stent grafts to the ascending.

A new staged hybrid total arch repair procedure using a branched proximal elephant trunk technique with implantation of stent grafts to the ascending.
In situ laser fenestration during emergent thoracic endovascular aortic repair is an effective method for left subclavian artery revascularization  Richard.

In situ laser fenestration during emergent thoracic endovascular aortic repair is an effective method for left subclavian artery revascularization  Richard.
Endovascular treatment of thoracic aortic aneurysms with a short proximal landing zone using scalloped endografts  Ali Alsafi, MBBS, BSc (Hons), Colin.

Endovascular treatment of thoracic aortic aneurysms with a short proximal landing zone using scalloped endografts  Ali Alsafi, MBBS, BSc (Hons), Colin.
Use of custom Dacron branch grafts for “hybrid” aortic debranching during endovascular repair of thoracic and thoracoabdominal aortic aneurysms  G. Chad.

Use of custom Dacron branch grafts for “hybrid” aortic debranching during endovascular repair of thoracic and thoracoabdominal aortic aneurysms  G. Chad.
Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V

Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V
Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,

Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,
Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P

Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P
Endovascular abdominal aortic aneurysm repair to prevent rupture in a patient requiring lithotripsy  Rick de Graaf, MSc, Frank J Veith, MD, Nicholas J.

Endovascular abdominal aortic aneurysm repair to prevent rupture in a patient requiring lithotripsy  Rick de Graaf, MSc, Frank J Veith, MD, Nicholas J.
Stent-graft repair of traumatic thoracic aortic disruptions

Stent-graft repair of traumatic thoracic aortic disruptions
Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft  Naoki Toya, MD, PhD, Takao Ohki, MD,

Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft  Naoki Toya, MD, PhD, Takao Ohki, MD,
David Drullinsky, MD, Heather Gill, MD, MPH, Jason P

David Drullinsky, MD, Heather Gill, MD, MPH, Jason P
Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients  Joseph.

Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients  Joseph.
Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device  Pierre Galvagni Silveira,

Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device  Pierre Galvagni Silveira,
Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm  Ludovic.

Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm  Ludovic.
Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft  Blaine J. Ruby, MD, Thomas H. Cogbill,

Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft  Blaine J. Ruby, MD, Thomas H. Cogbill,
Extra-anatomic bypass with open-plugging stent graft for extensive dissected aortic aneurysm  Yoshiaki Saito, MD, Ryosuke Kowatari, MD, Masahito Minakawa,

Extra-anatomic bypass with open-plugging stent graft for extensive dissected aortic aneurysm  Yoshiaki Saito, MD, Ryosuke Kowatari, MD, Masahito Minakawa,
Combined surgical and endovascular treatment of aortic arch aneurysms

Combined surgical and endovascular treatment of aortic arch aneurysms
Thoracic endovascular aortic repair with the chimney graft technique

Thoracic endovascular aortic repair with the chimney graft technique

Similar presentations

Ads by Google