In situ bending of thoracic stent grafts: Clinical application of a novel technique to improve conformance to the aortic arch.
Kölbel, Tilo LU ; Dias, Nuno LU
; Resch, Tim
LU
; Holst, Jan
LU
; Sonesson, Björn
LU
and Malina, Martin
LU
(2009)
In Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter
49.
p.1613-1616
- Abstract
- PURPOSE: A straight thoracic stent graft often complies poorly with the curvature of the aortic arch. We have previously reported an in vitro model of a modified stent graft that can be bent in situ after deployment to improve conformance to the aortic arch. We now report the first clinical experience with this technique in three consecutive patients. METHODS: Between September 2007 and August 2008, three patients were treated for different pathologies of the aortic arch with a modified thoracic stent graft that was fitted with a sliding self-locking knot and a detachable Bowden cable. Transfemoral traction on the Bowden cable enables controlled shortening of the proximal part of the stent graft at the inner curve after deployment. The... (More)
- PURPOSE: A straight thoracic stent graft often complies poorly with the curvature of the aortic arch. We have previously reported an in vitro model of a modified stent graft that can be bent in situ after deployment to improve conformance to the aortic arch. We now report the first clinical experience with this technique in three consecutive patients. METHODS: Between September 2007 and August 2008, three patients were treated for different pathologies of the aortic arch with a modified thoracic stent graft that was fitted with a sliding self-locking knot and a detachable Bowden cable. Transfemoral traction on the Bowden cable enables controlled shortening of the proximal part of the stent graft at the inner curve after deployment. The stent graft is thereby directed to allow for better apposition to the aortic wall. RESULTS: The modified thoracic stent grafts were correctly orientated and deployed in all patients. Transfemoral traction on the Bowden cable successfully bent all stent grafts and improved vessel wall apposition without a residual gap on the inner curve. The Bowden cable was successfully released and withdrawn in all patients. CONCLUSION: In situ bending of thoracic stent grafts with a sliding self-locking knot is feasible and improves proximal apposition of the device at the inner curve of the aortic arch. More data and longer follow-up are required to confirm the applicability of this technique. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1367547
- author
- Kölbel, Tilo
LU
; Dias, Nuno
LU
; Resch, Tim
LU
; Holst, Jan
LU
; Sonesson, Björn
LU
and Malina, Martin
LU
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter
- volume
- 49
- pages
- 1613 - 1616
- publisher
- Mosby-Elsevier
- external identifiers
-
- wos:000266681000038
- pmid:19307087
- scopus:67349137709
- ISSN
- 1097-6809
- DOI
- 10.1016/j.jvs.2008.12.014
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Unit for Clinical Vascular Disease Research (013242410)
- id
- 1fe96ef6-4bef-44dc-8e4c-096a7621a694 (old id 1367547)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/19307087?dopt=Abstract
- date added to LUP
- 2016-04-04 09:25:55
- date last changed
- 2022-01-29 17:49:20
@article{1fe96ef6-4bef-44dc-8e4c-096a7621a694,
abstract = {{PURPOSE: A straight thoracic stent graft often complies poorly with the curvature of the aortic arch. We have previously reported an in vitro model of a modified stent graft that can be bent in situ after deployment to improve conformance to the aortic arch. We now report the first clinical experience with this technique in three consecutive patients. METHODS: Between September 2007 and August 2008, three patients were treated for different pathologies of the aortic arch with a modified thoracic stent graft that was fitted with a sliding self-locking knot and a detachable Bowden cable. Transfemoral traction on the Bowden cable enables controlled shortening of the proximal part of the stent graft at the inner curve after deployment. The stent graft is thereby directed to allow for better apposition to the aortic wall. RESULTS: The modified thoracic stent grafts were correctly orientated and deployed in all patients. Transfemoral traction on the Bowden cable successfully bent all stent grafts and improved vessel wall apposition without a residual gap on the inner curve. The Bowden cable was successfully released and withdrawn in all patients. CONCLUSION: In situ bending of thoracic stent grafts with a sliding self-locking knot is feasible and improves proximal apposition of the device at the inner curve of the aortic arch. More data and longer follow-up are required to confirm the applicability of this technique.}},
author = {{Kölbel, Tilo and Dias, Nuno and Resch, Tim and Holst, Jan and Sonesson, Björn and Malina, Martin}},
issn = {{1097-6809}},
language = {{eng}},
pages = {{1613--1616}},
publisher = {{Mosby-Elsevier}},
series = {{Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter}},
title = {{In situ bending of thoracic stent grafts: Clinical application of a novel technique to improve conformance to the aortic arch.}},
url = {{http://dx.doi.org/10.1016/j.jvs.2008.12.014}},
doi = {{10.1016/j.jvs.2008.12.014}},
volume = {{49}},
year = {{2009}},
}