Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 572-576 , March 2010

Variation in the shape and length of the branches of a thoracoabdominal aortic stent graft: Implications for the role of standard off-the-shelf components

  • Ki-Hyuk Park, MD

      Affiliations

    • Division of Vascular Surgery, Daegu-Catholic University, San Francisco, Calif
    • ,
  • Jade S. Hiramoto, MD

      Affiliations

    • Division of Vascular Surgery, University of California San Francisco, San Francisco, Calif
    • ,
  • Linda M. Reilly, MD

      Affiliations

    • Division of Vascular Surgery, University of California San Francisco, San Francisco, Calif
    • ,
  • Matthew Sweet, MD

      Affiliations

    • Division of Vascular Surgery, University of California San Francisco, San Francisco, Calif
    • ,
  • Timothy A.M. Chuter, MD

      Affiliations

    • Division of Vascular Surgery, University of California San Francisco, San Francisco, Calif
    • Corresponding Author InformationReprint requests: Tim Chuter, MD, Division of Vascular Surgery, UCSF, 400 Parnassus Ave, A-581, San Francisco, CA 94143

Received 4 August 2009 ,Accepted 11 September 2009.

  • Image Result

    Photograph showing four caudally-oriented cuffs on a narrow (18-mm-wide) segment of the standard stent graft.

    Photograph showing four caudally-oriented cuffs on a narrow (18-mm-wide) segment of the standard stent graft.

  • Image Result

    A transaxial representation of computed tomographic angiography (CTA), showing measurement of a planned cuff orientation (red arrow) relative to a line (white arrow) through the centerline of the aort

    A transaxial representation of computed tomographic angiography (CTA), showing measurement of a planned cuff orientation (red arrow) relative to a line (white arrow) through the centerline of the aortic lumen.

  • Image Result
    A diagram showing how the difference between actual cuff orientation (blue arrow) and actual vessel orientation (red arrow) projects to the surface of the aorta as an arc length (black arrow).

    A diagram showing how the difference between actual cuff orientation (blue arrow) and actual vessel orientation (red arrow) projects to the surface of the aorta as an arc length (black arrow).

  • Image Result
    A diagram showing how true branch length (TBL) is measured as the distance between a marker at the outer end of the cuff and the orifice of the target artery, whereas longitudinal branch length (LBL)

    A diagram showing how true branch length (TBL) is measured as the distance between a marker at the outer end of the cuff and the orifice of the target artery, whereas longitudinal branch length (LBL) is measured as the axial displacement between these two landmarks.

  • Image Result
    A diagram showing the longitudinal branch angle (LBA), the longitudinal branch length (BL), and the arc length (AL).

    A diagram showing the longitudinal branch angle (LBA), the longitudinal branch length (BL), and the arc length (AL).

  • Image Result
    The positions of the arterial orifices relative to the corresponding cuffs.

    The positions of the arterial orifices relative to the corresponding cuffs.

 Competition of interest: Dr. Chuter receives the following support from Cook Medical Inc, the manufacturer of the thoracoabdominal aortic stent graft, royalties from licensed patents, travel expenses, and research funding.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)01908-9

doi: 10.1016/j.jvs.2009.09.022

Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 572-576 , March 2010

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