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Hybrid endovascular aortic arch repair using branched endoprosthesis: The second- generation “branched” open stent-grafting technique  Kazuo Shimamura,

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Presentation on theme: "Hybrid endovascular aortic arch repair using branched endoprosthesis: The second- generation “branched” open stent-grafting technique  Kazuo Shimamura,"— Presentation transcript:

1 Hybrid endovascular aortic arch repair using branched endoprosthesis: The second- generation “branched” open stent-grafting technique  Kazuo Shimamura, MD, Toru Kuratani, MD, PhD, Goro Matsumiya, MD, PhD, Yukitoshi Shirakawa, MD, PhD, Mugiho Takeuchi, MD, Hiroshi Takano, MD, PhD, Yoshiki Sawa, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 138, Issue 1, Pages (July 2009) DOI: /j.jtcvs Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 A, Whole image of the branched endoprosthesis, made up of a main body and cervical branches. B, The cervical branch is composed of a balloon-expandable stent. C, Stented portion of the main body. It is composed of self-expandable Z stent. The Journal of Thoracic and Cardiovascular Surgery  , 46-53DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Delivery system. A, The stented portion of the main body is restrained with a silk string. B, The cervical branch is mounted on a balloon catheter. C, Whole image of the delivery system. The Journal of Thoracic and Cardiovascular Surgery  , 46-53DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Distal arch repair with branched open stent-grafting technique. The Journal of Thoracic and Cardiovascular Surgery  , 46-53DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

5 Figure 4 Total arch repair with branched open stent-grafting technique. The Journal of Thoracic and Cardiovascular Surgery  , 46-53DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

6 Figure 5 Freedom from endoleaks.
The Journal of Thoracic and Cardiovascular Surgery  , 46-53DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

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