This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hiroshi Kubota Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kubota, H. Articles by Sudo, K. Search for Related Content PubMed PubMed Citation Articles by Kubota, H. Articles by Sudo, K. Related Collections Great vessels

New open stent-graft delivery system: the CLATE flexible metal graft holder

Department of Cardiovascular Surgery, Kyorin University, 6-20-2, Shinkawa, Mitaka-shi, 181-8611, Tokyo, Japan

*Corresponding author. Tel.: +81-422-47-5511; fax: +81-422-42-7587.

E-mail address: kub{at}kyorin-u.ac.jp (H. Kubota).

The surgical approach to the treatment of distal aortic arch aneurysms is still a matter of controversy. Median sternotomy is usually selected when the patient has the pulmonary emphysema, and the atherosclerotic change involves the ascending aorta or the aortic arch as well as the distal aortic arch. However, when the end of the aneurysm is deep and distant, distal anastomosis becomes more difficult. Left thoracotomy is another approach, but in the patients with impaired respiratory function or when dense lung adhesions to the chest wall are anticipated because of a history of inflammation, the risk of intraoperative bleeding and postoperative respiratory complications becomes a major concern. Total arch replacement by an open stent graft insertion method through a median sternotomy has been devised as a procedure that overcomes these problems. However, since no ideal device for delivering long stent grafts beyond the aneurysm is available, we developed a new delivery system, and we successfully applied it clinically in a patient with an enlarged distal aortic arch.

Key Words: Aortic aneurysm; Stent graft; Thoracic aorta

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