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Ann Thorac Surg 2005;79:1790-1792
© 2005 The Society of Thoracic Surgeons

How to do it

Assembly and Deployment of a Branched Arch Stent Graft Using the Transaortic Approach

Toshihiko Shibata, MDa,*, Hidekazu Hirai, MDa, Toshihiro Fukui, MDa, Takanobu Aoyama, MDa, Shigefumi Suehiro, MDa

a Department of Cardiovascular Surgery, Osaka City University Medical School, Osaka, Japan

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Shibata, Department of Cardiovascular Surgery, Osaka City University Medical School, 1-4-3, Asahi-machi, Abeno, Osaka 545-8585, Japan
shibata{at}msic.med.osaka-cu.ac.jp

Transaortic stent grafting is an alternative method for treating distal arch aneurysms. Total arch grafts are too bulky to be inserted into a sheath catheter during usual stent grafting methods. An assembling method that uses a chain stitch enables the deployment of any type of stent graft into the distal aorta without the need for a sheath catheter. We describe how to safely assemble and use a branched arch stent graft. We consider this method to be beneficial in selected cases involving extensive distal arch aneurysms or in patients with highly calcified aortas.




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