title: [Total arch replacement using a new sheathless open stent-grafting technique].
abstract: Total arch replacement for extended distal arch aneurysm has been known to have a poor outcome because of a limited view on the distal side. An open stent-grafting technique has been employed in many institutions, but several complications have been reported. Specifically, embolism of the distal artery from aneurysm debris and injury to the aortic wall are serious complications. Therefore, we have developed and tested a new sheathless stent-grafting system. We use a small-sized sheath (12 Fr) as an inner cylinder and a stainless-steel Z-shaped stent (Gianturco:William Cook Europe A/S) in the distal part of the graft. This system is deployed by releasing 3-0 polypropylene suture after inserting the full-length graft. The major advantages of this system, compared with other devices, include flexibility, less invasiveness to the aortic wall and low potential for graft migration. This new system may be feasible and clinically effective in the surgical treatment of extended distal arch aneurysm.
authors: Department of Thoracic and Cardiovascular Surgery, Saga University, Saga, Japan.
authors: Akira
authors: A
authors: Furutachi
authors: Kojiro
authors: K
authors: Furukawa
authors: Atsuhisa
authors: A
authors: Tanaka
authors: Masanori
authors: M
authors: Takamatsu
authors: Manabu
authors: M
authors: Itoh
authors: Keiji
authors: K
authors: Kamohara
authors: Shigeki
authors: S
authors: Morita
mesh_terms: D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods