Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair

This report introduces the reverse slider technique to obtain proximal sealing effectively in endovascular aneurysm repair in short or angulated necks. It is the deployment process of the stent graft main body by repeatedly rotating and reversing the external slider with slight loosening of the supr...

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Main Authors: Noriyasu Morikage, MD, PhD, Junichi Nishimura, MD, PhD, Takahiro Mizoguchi, MD, Yuriko Takeuchi, MD, PhD, Takashi Nagase, MD, Makoto Samura, MD, PhD, Takasuke Harada, MD, PhD, Kenichiro Aga, MD, PhD, Munetaka Masuda, MD, PhD, Kimikazu Hamano, MD, PhD
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428719300528
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author Noriyasu Morikage, MD, PhD
Junichi Nishimura, MD, PhD
Takahiro Mizoguchi, MD
Yuriko Takeuchi, MD, PhD
Takashi Nagase, MD
Makoto Samura, MD, PhD
Takasuke Harada, MD, PhD
Kenichiro Aga, MD, PhD
Munetaka Masuda, MD, PhD
Kimikazu Hamano, MD, PhD
author_facet Noriyasu Morikage, MD, PhD
Junichi Nishimura, MD, PhD
Takahiro Mizoguchi, MD
Yuriko Takeuchi, MD, PhD
Takashi Nagase, MD
Makoto Samura, MD, PhD
Takasuke Harada, MD, PhD
Kenichiro Aga, MD, PhD
Munetaka Masuda, MD, PhD
Kimikazu Hamano, MD, PhD
author_sort Noriyasu Morikage, MD, PhD
collection DOAJ
description This report introduces the reverse slider technique to obtain proximal sealing effectively in endovascular aneurysm repair in short or angulated necks. It is the deployment process of the stent graft main body by repeatedly rotating and reversing the external slider with slight loosening of the suprarenal stent. This method helps obtain accurate placement of the proximal edge and effective sealing on the greater curvature side even in short and angulated necks. It is an effective method of extending the proximal sealing zone. It is gained by changing the deployment process with the Endurant stent graft (Medtronic, Santa Rosa, Calif) as an existing popular device. Keywords: Endurant, Short neck, Angulated neck, Hostile neck, Reverse slider technique
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spelling doaj.art-457e063d72af4944b67f7ec893edc0702022-12-21T23:19:53ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-09-0153332337Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repairNoriyasu Morikage, MD, PhD0Junichi Nishimura, MD, PhD1Takahiro Mizoguchi, MD2Yuriko Takeuchi, MD, PhD3Takashi Nagase, MD4Makoto Samura, MD, PhD5Takasuke Harada, MD, PhD6Kenichiro Aga, MD, PhD7Munetaka Masuda, MD, PhD8Kimikazu Hamano, MD, PhD9Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan; Correspondence: Noriyasu Morikage, MD, PhD, Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube 755-8505, JapanDepartment of Cardiovascular Surgery, Saiseikai Yokohama Nanbu Hospital, Yokohama, JapanDivision of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, JapanDivision of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, JapanDivision of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, JapanDivision of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, JapanDivision of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, JapanDepartment of Cardiovascular Surgery, Saiseikai Yokohama Nanbu Hospital, Yokohama, JapanDepartment of Surgery, Yokohama City University, Yokohama, JapanDivision of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, JapanThis report introduces the reverse slider technique to obtain proximal sealing effectively in endovascular aneurysm repair in short or angulated necks. It is the deployment process of the stent graft main body by repeatedly rotating and reversing the external slider with slight loosening of the suprarenal stent. This method helps obtain accurate placement of the proximal edge and effective sealing on the greater curvature side even in short and angulated necks. It is an effective method of extending the proximal sealing zone. It is gained by changing the deployment process with the Endurant stent graft (Medtronic, Santa Rosa, Calif) as an existing popular device. Keywords: Endurant, Short neck, Angulated neck, Hostile neck, Reverse slider techniquehttp://www.sciencedirect.com/science/article/pii/S2468428719300528
spellingShingle Noriyasu Morikage, MD, PhD
Junichi Nishimura, MD, PhD
Takahiro Mizoguchi, MD
Yuriko Takeuchi, MD, PhD
Takashi Nagase, MD
Makoto Samura, MD, PhD
Takasuke Harada, MD, PhD
Kenichiro Aga, MD, PhD
Munetaka Masuda, MD, PhD
Kimikazu Hamano, MD, PhD
Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair
Journal of Vascular Surgery Cases and Innovative Techniques
title Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair
title_full Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair
title_fullStr Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair
title_full_unstemmed Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair
title_short Reverse slider technique using the Endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair
title_sort reverse slider technique using the endurant stent graft for accurate proximal sealing in hostile neck endovascular aneurysm repair
url http://www.sciencedirect.com/science/article/pii/S2468428719300528
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