Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019;15(4):485-488.
doi: 10.5114/aic.2019.90224. Epub 2019 Dec 8.

Utility of dual longitudinal diameter-reducing ties in aortic arch thoracic endovascular aortic repair

Arkadiusz Kazimierczak  1 , Paweł Rynio  1 , Tomasz Jędrzejczak  2 , Maciej Lewandowski  3 , Piotr Gutowski  1
Affiliations

Utility of dual longitudinal diameter-reducing ties in aortic arch thoracic endovascular aortic repair

Arkadiusz Kazimierczak et al. Postepy Kardiol Interwencyjnej. 2019.
No abstract available

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Principle of graft modification. A – 3D printing as a template for PMEG. B – Fenestration edge lined with the wire. PMEG ready for completing dual longitudinal diameter-reducing ties. C – Dual longitudinal diameter- reducing ties made with two non-locking Prolene loops one of which goes around a V18 Control wire (DLT wire shown in red). D – Delivery system without double lateral reducing ties can bend in any direction. E – Double lateral reducing ties limit the bending of the delivery system to only one plane. Red arrows indicate the Prolene suture needed to knot non-locking Prolene loops for dual longitudinal diameter-reducing ties. Yellow arrow indicates innominate artery. Blue arrow indicates the coronary bypass outflow
Figure 2
Figure 2
Good graft function. Black arrow indicates persistent flow in false lumen below the thoracic stent graft. Blue arrow indicates satisfactory positioning of the fenestration on the coronary bypass
See this image and copyright information in PMC

Comment in

References

    1. Spear R, Clough RE, Fabre D, et al. Total endovascular treatment of aortic arch disease using an arch endograft with 3 inner branches. J Endovasc Ther. 2017;24:534–8. - PubMed
    1. Rynio P, Kazimierczak A, Jedrzejczak T, Gutowski P. A 3D printed aortic arch template to facilitate decision-making regarding the use of an externalized transapical wire during thoracic endovascular aneurysm repair. Ann Vasc Surg. 2019;54:336.e5–8. - PubMed
    1. Rynio P, Kazimierczak A, Jedrzejczak T, Gutowski P. A 3-dimensional printed aortic arch template to facilitate the creation of physician-modified stent-grafts. J Endovasc Ther. 2018;25:554–8. - PubMed
    1. Oderich GS. Diameter-reducing wire to facilitate deployment of a modified zenith fenestrated stent graft. Ann Vasc Surg. 2010;24:980–4. - PubMed
    1. Joseph G, Premkumar P, Thomson V, et al. Externalized guidewires to facilitate fenestrated endograft deployment in the aortic arch. J Endovasc Ther. 2016;23:160–71. - PMC - PubMed