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Pulmonary Artery Sealing Using the HARMONIC ACE+ Shears for Video-Assisted Thoracoscopic Surgery Lobectomy  Moishe Liberman, MD, PhD, Mohamed Khereba,

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Presentation on theme: "Pulmonary Artery Sealing Using the HARMONIC ACE+ Shears for Video-Assisted Thoracoscopic Surgery Lobectomy  Moishe Liberman, MD, PhD, Mohamed Khereba,"— Presentation transcript:

1 Pulmonary Artery Sealing Using the HARMONIC ACE+ Shears for Video-Assisted Thoracoscopic Surgery Lobectomy  Moishe Liberman, MD, PhD, Mohamed Khereba, MBBCh, Basil Nasir, MBBCh, Eric Goudie, MD, Alain Danino, MD, PhD, Jean-Philippe Giot, MD, Nathanael Nizard, Rachid Hadjeres, MD, Vicky Thiffault, RN, Nicolas Farrenq, Pasquale Ferraro, MD  The Annals of Thoracic Surgery  Volume 100, Issue 3, Pages (September 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Complete coaptation and melting of pulmonary artery (PA) walls after HARMONIC ACE+ (Ethicon, Cincinnati, OH) sealing. (B) Vascular endostapler sealing of a PA demonstrating a millimetric channel (black arrow) between 3 lines of staples. This is one mechanism that can explain small leaks after thin-walled vessels are stapled. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Mean bursting pressure (BP) of pulmonary artery branches <5 mm and >5 mm in the vascular endostapler (VES; control) and HARMONIC ACE+ (ACE; Ethicon, Cincinnati, OH; experimental) groups. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Normal collagen fiber distribution in the pulmonary artery (PA) wall adventitia in the form of individual fibers forming a mesh. (working distance = 11.02mm, magnification = 3000X) (B) Complete melting of adventitial fibers after HARMONIC ACE+ (Ethicon, Cincinnati, OH) sealing (working distance = 11.45mm, magnification = 3000X). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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