Aortic Arch Hybrid Repair: Stent-Bridging of the Supra-Aortic Vessel Anastomoses (SAVSTEB).

Pichlmaier, Maximilian; Luehr, Maximilian; Rutkowski, Simon; Fabry, Thomas; Guenther, Sabina; Hagl, Christian; Peterss, Sven · Ann Thorac Surg · 2017

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Abstract

The reattachment of the supra-aortic vessels during hybrid arch repair using a branched prosthesis is time consuming and sometimes technically challenging. Here, we describe the surgical technique of bridging the end-to-end anastomoses between the graft branches and the supra-aortic vessels by self-expanding covered stents to reduce suturing time, avoid anastomotic bleeding, enhance true lumen remodeling, and improve vessel alignment to the hybrid graft.

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