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A new unibody branched stent-graft for reconstruction of the canine aortic arch.

Abstract

OBJECTIVES
To evaluate the feasibility and safety of a new unibody branched stent-graft for reconstruction of the canine aortic arch.
MATERIALS AND METHODS
Twenty adult hybrid dogs were used for the experiments. Ten dogs were implanted with single-branched stent-grafts; the other ten dogs were implanted with double-branched stent-grafts. The stent-grafts were implanted transluminally via the abdominal aorta. The branched limbs were caught and pulled into supra-aortic vessels using gooseneck snare wires introduced via the axillary arteries. The animals were euthanized 4 months after implantation.
RESULTS
One of the ten dogs implanted with a single-branched stent-graft died from failure of the implantation procedure, and two of the ten dogs implanted with double-branched stent-grafts died from failure of the procedure and excessive blood loss. After month 4, the remaining unibody branched stent-grafts were patent and did not migrate.
CONCLUSIONS
This new unibody branched stent-graft could be used to reconstruct the aortic arch. This is a total endovascular technique, and compared to other branched stent-grafts appears to be safer and easier to implant.

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  • Publisher Full Text
  • Authors

    Li W, Xu K, Zhong H, Ni Y, Bi Y

    Institution

    Department of Radiology, The First Affiliated Hospital of China Medical University, Liaoning, People's Republic of China.

    Source

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery 44:2 2012 Aug pg 139-44

    MeSH

    Animals
    Aorta, Thoracic
    Aortography
    Blood Vessel Prosthesis
    Blood Vessel Prosthesis Implantation
    Dogs
    Endovascular Procedures
    Feasibility Studies
    Materials Testing
    Models, Animal
    Prosthesis Design
    Prosthesis Failure
    Stents
    Time Factors
    Tomography, X-Ray Computed

    Pub Type(s)

    Evaluation Studies
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22659046