Document Detail

Improving endograft stability by accommodation onto the aortic bifurcation.
MedLine Citation:
PMID:  17924728     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report the technique for deploying a 3-part endovascular graft onto the native aortic bifurcation for greater stent-graft stability. TECHNIQUE: The Zenith Composite Endovascular Graft is a 3-part system consisting of a proximal tubular body with an uncovered Gianturco Z stent, a distal bifurcated body, and a contralateral leg. Proximally, 8-mm flexible interstent gaps facilitate precise infrarenal aortic placement, even in angulated necks. Technically, the bifurcated part is deployed first and pulled down to the aortic bifurcation, while the tubular main body and contralateral leg deployment follow. Using this technique to accommodate the graft onto the natural aortic bifurcation, distal stability can be enhanced and graft migration minimized. CONCLUSION: The Composite configuration can be an alternative to ensure a higher security index in difficult anatomies. It may be beneficial in patients with short (10-15 mm), angulated (>60 degrees ), or conical necks and deserves investigation in these patient populations.
Theodossios P Perdikides; Efthimios D Avgerinos; Konstantinos Lagios; Peter Ziegler; Wolf Stelter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  14     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-10     Completed Date:  2008-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  634-8     Citation Subset:  IM    
Department of Vascular Surgery, Hellenic Airforce Hospital, Athens, Greece.
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MeSH Terms
Aorta / pathology,  surgery*
Aortic Aneurysm / pathology,  radiography,  surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects,  instrumentation*
Foreign-Body Migration / etiology,  prevention & control*
Prosthesis Design
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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