A vascular tube for intercostal artery reimplantation | Zendy

Masashi Toyama | Zendy; Akio Usui | Zendy; Takeshi Akita | Zendy; Yuki UEDA | Zendy

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A vascular tube for intercostal artery reimplantation

Author(s) -

Masashi Toyama,

Akio Usui,

Takeshi Akita,

Yuki UEDA

Publication year - 2006

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2005.12.010

Subject(s) - intercostal arteries , medicine , paraplegia , spinal cord , thoracic aorta , surgery , descending aorta , artery , aorta , anesthesia , anatomy , psychiatry

Paraplegia and paraparesis are major concerns in descending and thoracoabdominal aortic repair. A shorter period of spinal cord ischemia is preferred for protection. We have developed a new technique in which plural intercostal arteries are reattached in a short time. The lower descending aorta is tailored using automatic sutures, and a vascular tube is made with diameter about 2.0 cm. Blood supply of intercostal arteries including the Adamkiewicz artery is resumed by perfusing the vascular tube in not more than 20 min. This technique has been applied in four patients, and there was neither paraplegia nor paraparesis.

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