By Jacques Kpodonu, Raoul Bonan
''Despite the ''hot topic'' prestige of this topic, there are few book-length assets that disguise the themes offered right here in any intensity. there's a specific desire for high quality assurance of hybrid suggestions, that have emerged purely over the past 3-4 years. a number of the techniques/procedures coated during this ebook have won approval and are getting used in sufferer care in Europe and in other places and are bound to see Read more...
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Sample text
Near joints or in limbs. Most self-expanding stents have radiopaque markers that increase their visibility. Covered stent-grafts (Fig. 10) are alternatively used for arthero-occlusive disease, dissection, and rupture of vessels. Fig. 11 Medtronic Aneurex abdominal endoluminal graft. Fig. 12 Cook TX2 thoracic endoluminal graft. Endoluminal grafts Endoluminal grafts (ELGs) are stents, primarily self-expanding, that are covered with polytetrafluoroethylene (PTFE) material or woven Dacron. They are most commonly used in the aorta to exclude aneurysms.
3 Nienaber CA, Rousseau H, Eggebrecht H, et al. for the INSTEAD Trial. Randomized comparison of strategies for Type B aortic dissection. Circulation 2009; 120:2519–28. 4 Alric P, Canaud L, Branchereau P. et al. Preoperative assessment of anatomical suitability for thoracic endovascular aortic repair. Acta Chir Belg 2009; 109(4):458–64. 5 Criado FJ. Iliac arterial donduits for endovascular access: technical considerations. J Endovasc Ther 2007; 14: 347–51. 6 Sabik JF, Nemeh H, Lytle BW. et al. Cannulation of the axillary artery with a side graft reduces morbidity.
The visceral branches of the thoraco-abdominal aorta lie in an inaccessible location where bypass entails a large operation with high complication rates. Multibranched repair is therefore the preferred option for thoraco-abdominal aortic aneurysm (TAAA) whenever the patient has suitable endovascular anatomy and the necessary equipment is available. Principles of stent-graft design All branched stent-grafts take one of two forms, unibody or modular, depending on the method of branch construction.