Novel endovascular procedures and new developments in aortic surgery

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Presentation transcript:

Novel endovascular procedures and new developments in aortic surgery S.W.K. Cheng British Journal of Anaesthesia Volume 117, Pages ii3-ii12 (January 2016) DOI: 10.1093/bja/aew222 Copyright © 2016 The Author(s) Terms and Conditions

Fig 1 A juxtarenal aneurysm treated with a fenestrated endograft. The coeliac axis was preserved by a scallop, and three fenestrations to the superior mesenteric artery and renal arteries were bridged by covered stents. British Journal of Anaesthesia 2016 117, ii3-ii12DOI: (10.1093/bja/aew222) Copyright © 2016 The Author(s) Terms and Conditions

Fig 2 A ‘chimney’ covered stent preserves blood flow to the left renal artery, with a standard abdominal endograft landing above its origin. British Journal of Anaesthesia 2016 117, ii3-ii12DOI: (10.1093/bja/aew222) Copyright © 2016 The Author(s) Terms and Conditions

Fig 3 A patient with bilateral common iliac aneurysms, and both internal iliac arteries were preserved after endovascular aneurysm repair with two iliac branched devices. British Journal of Anaesthesia 2016 117, ii3-ii12DOI: (10.1093/bja/aew222) Copyright © 2016 The Author(s) Terms and Conditions

Fig 4 Polymer-filled sealing rings in the Ovation Prime endograft system. British Journal of Anaesthesia 2016 117, ii3-ii12DOI: (10.1093/bja/aew222) Copyright © 2016 The Author(s) Terms and Conditions

Fig 5 Endovascular aneurysm sealing with the Nellix system, showing two balloon-expandable stents and a polymer-sealed aneurysm sac. British Journal of Anaesthesia 2016 117, ii3-ii12DOI: (10.1093/bja/aew222) Copyright © 2016 The Author(s) Terms and Conditions

Fig 6 A patient with a large arch aneurysm treated with the Cook arch-branch device. A staged left carotid–subclavian bypass is evident, with the left subclavian origin plugged with an Amplatzer occluder. British Journal of Anaesthesia 2016 117, ii3-ii12DOI: (10.1093/bja/aew222) Copyright © 2016 The Author(s) Terms and Conditions

Fig 7 Thoracic endovascular aneurysm repair for type B dissection. A stent graft covers the primary entry tear and distal bare stents expand the true lumen. British Journal of Anaesthesia 2016 117, ii3-ii12DOI: (10.1093/bja/aew222) Copyright © 2016 The Author(s) Terms and Conditions

Fig 8 A four-vessel branched endograft, with covered stents to visceral vessels, successfully excludes a thoracoabdominal aneurysm. British Journal of Anaesthesia 2016 117, ii3-ii12DOI: (10.1093/bja/aew222) Copyright © 2016 The Author(s) Terms and Conditions