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The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair  Kenneth Ouriel, MD  Journal of.

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Presentation on theme: "The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair  Kenneth Ouriel, MD  Journal of."— Presentation transcript:

1 The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair  Kenneth Ouriel, MD  Journal of Vascular Surgery  Volume 37, Issue 1, Pages (January 2003) DOI: /mva Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 Anastomosis of distal aspect of side-arm conduit to left common iliac artery is performed first. When this vessel is heavily diseased, external iliac artery provides second outflow option. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 Proximal aortic anastomosis is constructed, and clamp is moved to point just distal to side arm. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 Visceral patch anastomosis is sewn, including celiac, superior mesenteric, and right renal ostia. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 Fig. 4 Left renal anastomosis is constructed to side of main graft.
Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

6 Fig. 5 Side arm facilitates construction of intercostal anastomoses. Anastomosis of two patches of intercostal pairs has been depicted in this case. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

7 Fig. 6 Completed procedure.
Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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