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 transcript:

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 331-338 (February 1990) DOI: 10.1016/0741-5214(90)90277-H Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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 1990 11, 331-338DOI: (10.1016/0741-5214(90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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 1990 11, 331-338DOI: (10.1016/0741-5214(90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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 1990 11, 331-338DOI: (10.1016/0741-5214(90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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 1990 11, 331-338DOI: (10.1016/0741-5214(90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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 1990 11, 331-338DOI: (10.1016/0741-5214(90)90277-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions