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Ann Thorac Surg 1997;63:522-528
© 1997 The Society of Thoracic Surgeons
Departments of Cardiovascular Surgery, Cardiology, and Clinical Laboratory, Takeda Hospital, and Third Division, Department of Internal Medicine, Kyoto University Hospital, Kyoto Japan
Accepted for publication September 27, 1996.
Background. In recent years, transluminal endovascular graft placement techniques have been developed for the treatment of aortic aneurysms. We report our initial clinical experience with endovascular graft placement using a graft developed in our laboratory.
Methods. The procedure was performed in 20 patients with a diagnosed aortic aneurysm. The graft is constructed from a Dacron cylinder, and the surface of the graft is supported with multiple rings of extraflexible wire. After the compactly folded graft is delivered through the sheath to the predetermined target point, the graft is deployed and then pressed against the vessel by balloon inflation. Straight graft insertion was attempted in 10 patients, bifurcated graft insertion in 8, and branched graft insertion in 2.
Results. Graft placement was successful in 19 of the patients and unsuccessful in 1. There were no cases of graft migration, aneurysm rupture, or graft destruction during a mean follow-up period of 9 months.
Conclusions. Initial clinical results demonstrated the efficacy and safety of endovascular graft placement using this graft.
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Ann. Thorac. Surg. 1997 63: 528.
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