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Twelve-year experience with intraluminal sutureless ringed graft replacement of the descending thoracic and thoracoabdominal aorta  Mehmet C. Oz, MD *,

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Presentation on theme: "Twelve-year experience with intraluminal sutureless ringed graft replacement of the descending thoracic and thoracoabdominal aorta  Mehmet C. Oz, MD *,"— Presentation transcript:

1 Twelve-year experience with intraluminal sutureless ringed graft replacement of the descending thoracic and thoracoabdominal aorta  Mehmet C. Oz, MD *, Robert C. Ashton, Mithilesh K. Singh, MD *, Jorge S. Serra, MD **, Gerald M. Lemole, MD **  Journal of Vascular Surgery  Volume 11, Issue 2, Pages (February 1990) DOI: / (90)90277-H Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Appearance of the prototype sutureless prosthesis originally used in study. One spool has already been completed; the other is being prepared. Journal of Vascular Surgery  , DOI: ( / (90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Routine placement of the proximal spool of the sutureless prosthesis. A cuff of aortic tissue remains distal to the left subclavian artery and the aortic cross clamp. Journal of Vascular Surgery  , DOI: ( / (90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Insertion of the distal spool of the sutureless prosthesis over a Foley catheter placed into the descending thoracic aorta. With this technique, the balloon can be placed at a level below the diaphragm, and the entire thoracic aorta can be repaired without dividing the diaphragm. In addition, clamp trauma to diseased aortic tissue is avoided. Journal of Vascular Surgery  , DOI: ( / (90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 After removing the adjacent spools, two ring grafts are sutured together before initiating the procedure. A cuff is created in this clongated device for anastomosis to the celiac, mesenteric, or renal arteries. Journal of Vascular Surgery  , DOI: ( / (90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Spools from separate intraluminal prosthesis are placed within a suitable polytetrafluoroethylene segment to allow rapid adjustment of graft length by telescoping the spools within the polytetrafluoroethylene sheath. Journal of Vascular Surgery  , DOI: ( / (90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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