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Real chimney technique for total debranching of supra-aortic trunks

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Presentation on theme: "Real chimney technique for total debranching of supra-aortic trunks"— Presentation transcript:

1 Real chimney technique for total debranching of supra-aortic trunks
Masaaki Kato, MD, Hideo Kagaya, MD, Yoji Kubo, MD, Hiroshi Banno, MD, Nobukazu Ohkubo, MD  Journal of Vascular Surgery  Volume 61, Issue 2, Pages (February 2015) DOI: /j.jvs Copyright © 2015 The Authors Terms and Conditions

2 Fig 1 Real chimney technique for total debranching of supra-aortic trunks: a, Marking of the anastomosis site (oval) in the ascending aorta. b, Six mattress sutures between the ascending aorta and the main trunk of the triple-branched graft (without the use of a side-clamp) above the slated anastomosis hole. c, Stent graft (leg extension of the Gore Excluder; W. L. Gore and Associates, Flagstaff, Ariz) insertion from the center of the anastomosis oval through the oblique-cut triple-branched graft. d, Complete view of total debranching with the real chimney technique and thoracic endovascular aneurysm repair (TEVAR). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 The Authors Terms and Conditions

3 Fig 2 Total debranching and thoracic endovascular aneurysm repair (TEVAR) using the real chimney technique for a patient with arch aneurysm. a and b, Preoperative computed tomography scanning shows an arch aneurysm with a plaque-rich aorta. c and d, Postoperative computed tomography scanning shows total debranching and TEVAR of supra-aortic trunks with the real chimney technique completely excluding the arch aneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 The Authors Terms and Conditions

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