In situ bending of a thoracic stent-graft: a proposed novel technique to improve thoracic endograft seal

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In situ bending of a thoracic stent-graft: a proposed novel technique to improve thoracic endograft seal. / Kölbel, Tilo; Lee, Teng; Ivancev, Krassi; Resch, Timothy A; Sonesson, Björn; Malina, Martin.

In: J ENDOVASC THER, Vol. 15, No. 1, 02.2008, p. 62-66.

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@article{8dc43b84c1834237b91ed9d497283427,
title = "In situ bending of a thoracic stent-graft: a proposed novel technique to improve thoracic endograft seal",
abstract = "PURPOSE: To demonstrate the feasibility of a novel technique that modifies the configuration of a thoracic stent-graft after deployment to comply with the arch curvature.TECHNIQUE: The principle of a Bowden cable has been applied to direct a conventional thoracic stent-graft in situ after deployment. A suture placed at the proximal inner curve of a conventional thoracic stent-graft is fitted with a sliding, self-locking knot attached to a line that runs inside a catheter through the central rod of the stent-graft. Traction applied to this line directs the endograft post deployment, which allows for better apposition to the aortic wall. Shortening the inner curve makes the stent-graft bend. The extent of bending is fully controlled by the surgeon and held in place with the sliding knot. A release mechanism allows removal of all luminal components of the mechanism.CONCLUSION: The described technique of directing a thoracic stent-graft in situ seems feasible and enables better apposition of the stent-graft in a glass model. It may improve the durability of thoracic stent-grafts in the aortic arch.",
keywords = "Aortic Aneurysm, Thoracic/surgery, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/methods, Humans, Prosthesis Design, Stents, Suture Techniques",
author = "Tilo K{\"o}lbel and Teng Lee and Krassi Ivancev and Resch, {Timothy A} and Bj{\"o}rn Sonesson and Martin Malina",
year = "2008",
month = feb,
doi = "10.1583/07-2257.1",
language = "English",
volume = "15",
pages = "62--66",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "1",

}

RIS

TY - JOUR

T1 - In situ bending of a thoracic stent-graft: a proposed novel technique to improve thoracic endograft seal

AU - Kölbel, Tilo

AU - Lee, Teng

AU - Ivancev, Krassi

AU - Resch, Timothy A

AU - Sonesson, Björn

AU - Malina, Martin

PY - 2008/2

Y1 - 2008/2

N2 - PURPOSE: To demonstrate the feasibility of a novel technique that modifies the configuration of a thoracic stent-graft after deployment to comply with the arch curvature.TECHNIQUE: The principle of a Bowden cable has been applied to direct a conventional thoracic stent-graft in situ after deployment. A suture placed at the proximal inner curve of a conventional thoracic stent-graft is fitted with a sliding, self-locking knot attached to a line that runs inside a catheter through the central rod of the stent-graft. Traction applied to this line directs the endograft post deployment, which allows for better apposition to the aortic wall. Shortening the inner curve makes the stent-graft bend. The extent of bending is fully controlled by the surgeon and held in place with the sliding knot. A release mechanism allows removal of all luminal components of the mechanism.CONCLUSION: The described technique of directing a thoracic stent-graft in situ seems feasible and enables better apposition of the stent-graft in a glass model. It may improve the durability of thoracic stent-grafts in the aortic arch.

AB - PURPOSE: To demonstrate the feasibility of a novel technique that modifies the configuration of a thoracic stent-graft after deployment to comply with the arch curvature.TECHNIQUE: The principle of a Bowden cable has been applied to direct a conventional thoracic stent-graft in situ after deployment. A suture placed at the proximal inner curve of a conventional thoracic stent-graft is fitted with a sliding, self-locking knot attached to a line that runs inside a catheter through the central rod of the stent-graft. Traction applied to this line directs the endograft post deployment, which allows for better apposition to the aortic wall. Shortening the inner curve makes the stent-graft bend. The extent of bending is fully controlled by the surgeon and held in place with the sliding knot. A release mechanism allows removal of all luminal components of the mechanism.CONCLUSION: The described technique of directing a thoracic stent-graft in situ seems feasible and enables better apposition of the stent-graft in a glass model. It may improve the durability of thoracic stent-grafts in the aortic arch.

KW - Aortic Aneurysm, Thoracic/surgery

KW - Blood Vessel Prosthesis

KW - Blood Vessel Prosthesis Implantation/methods

KW - Humans

KW - Prosthesis Design

KW - Stents

KW - Suture Techniques

U2 - 10.1583/07-2257.1

DO - 10.1583/07-2257.1

M3 - SCORING: Journal article

C2 - 18254674

VL - 15

SP - 62

EP - 66

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 1

ER -