title: A newly designed holder for grafts with four side branches used in total arch replacement.
abstract: Grafts with four presewn side branches have proven very useful for total aortic arch replacement worldwide. However, the four side branches often obscure the surgeon's view of the distal anastomotic site. Thus, we designed a holder for this graft, which sheaths and hides the graft body and branches, allowing the surgeon a better view of the distal anastomosis. By using this device, distal anastomosis can be achieved early and quickly without obstruction of the surgeon's view, resulting in reduced cardiac ischemic time in aortic arch surgery.
authors.affiliation: Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, 16 Kusehara, Uchigomimayamachi, Iwaki, Fukushima, 973-8555, Japan.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Akiyama
authors.forename: Jun
authors.initials: J
authors.lastname: Hirota
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Tsuda
authors.forename: Hironori
authors.initials: H
authors.lastname: Ebishima
authors.forename: Chun
authors.initials: C
authors.lastname: Li
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D013525:Surgical Instruments