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An Experimental Study of Type I Endoleak Repair With a Suturing Device

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Presentation on theme: "An Experimental Study of Type I Endoleak Repair With a Suturing Device"— Presentation transcript:

1 An Experimental Study of Type I Endoleak Repair With a Suturing Device
Hiroshi Ohtake, MD, Shigeyuki Tomita, MD, Shoujirou Yamaguchi, MD, Shuhei Yoshida, MD, Keiichi Kimura, MD, Junichirou Sanada, MD, Osamu Matsui, MD, Go Watanabe, MD  The Annals of Thoracic Surgery  Volume 88, Issue 1, Pages (July 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 In this saccular aneurysm model endoleak repair, (a) a saccular aneurysm (arrow) was created by a Dacron graft end-to-side to the descending. (b) The preoperative angiographic findings showed a type I endoleak (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The T-Fix system (Smith & Nephew Co, Ltd, London, United Kingdom) consists of (a) a 2-holed small plastic (polyacetal) bar, through which 2-0 nonabsorbable polyester suture is passed, is transported inside a spinal needle. (b) The needle is inserted, and the T-Fix plastic bar is deployed with a push rod. The plastic bar is anchored. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 This simulation shows (a) the first T-Fix (Smith & Nephew Co, Ltd, London, United Kingdom) being inserted into the lumen through both the tube and the graft, (b) the plastic bar is anchored, and (c) two sutures are tied after the second T-Fix was inserted. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Endoleak repair. (a) T-Fix (Smith & Nephew Co, Ltd, London, United Kingdom) repair was performed (arrow 1 shows sutures of the first T-Fix, arrow 2 shows the second T-Fix needle). (b) Post-operative angiographic findings showed that the endoleak had disappeared. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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