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Revisiting the brachiofemoral through-and-through wire technique for hybrid arch repair with a problematic elephant trunk  Hidetake Kawajiri, MD, Katsuhiko.

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Presentation on theme: "Revisiting the brachiofemoral through-and-through wire technique for hybrid arch repair with a problematic elephant trunk  Hidetake Kawajiri, MD, Katsuhiko."— Presentation transcript:

1 Revisiting the brachiofemoral through-and-through wire technique for hybrid arch repair with a problematic elephant trunk  Hidetake Kawajiri, MD, Katsuhiko Oka, MD, Takuma Yamasaki, MD, Eisei Koh, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 150, Issue 1, Pages (July 2015) DOI: /j.jtcvs Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Computed tomography after a 4-branched graft replacement with an elephant trunk. A, Transverse plan. B, Sagittal plane. The distal orifice of the elephant trunk laterally faces into the distal aortic arch aneurysm (white arrows), which makes retrograde guide wire access difficult. ET, Elephant trunk; Desc Ao, descending aorta; Asc Ao, ascending aorta. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 A, An intraoperative aortogram. The brachiofemoral through-and-through wire (black arrow) is positioned with a snare catheter. White arrows indicate the distal edge of the elephant trunk. B, A Gore TAG prosthesis is inserted into the elephant trunk, and the guidewire is exchanged with a stiff wire for accurate deployment. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

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