OFF-THE-SHELF COOK® T-BRANCH® BRANCHED ENDOPROSTHESIS DEPLOYMENT: TECHNICAL ASPECTS AND TIPS AND TRICKS

Authors

  • Alice Cabral Lopes Serviço de Angiologia e Cirurgia Vascular; Centro Hospitalar Lisboa Norte; Lisboa; Portugal
  • Ryan Gouveia Melo Serviço de Angiologia e Cirurgia Vascular; Centro Hospitalar Lisboa Norte; Lisboa; Portugal
  • Pedro Amorim Serviço de Angiologia e Cirurgia Vascular; Centro Hospitalar Lisboa Norte; Lisboa; Portugal
  • Gonçalo Sobrinho Serviço de Angiologia e Cirurgia Vascular; Centro Hospitalar Lisboa Norte; Lisboa; Portugal
  • Ruy Fernandes e Fernandes Serviço de Angiologia e Cirurgia Vascular; Centro Hospitalar Lisboa Norte; Lisboa; Portugal
  • Luís Mendes Pedro Serviço de Angiologia e Cirurgia Vascular; Centro Hospitalar Lisboa Norte; Lisboa; Portugal

DOI:

https://doi.org/10.48750/acv.353

Keywords:

Thoracoabdominal aneurysms, Endovascular treatment, Branched stentgraft, Off-the shelf device, Deployment technique

Abstract

Introduction: Off-the-shelf multi-branched stent grafts, such as Cook t-Branch®, emerged as an alternative for the prompt treatment of thoracoabdominal aneurysms (ATA).

Objective/Technique: In our institution, the use of the Cook T-Branch® stent graft has been carried out in urgent cases and in some elective cases with favorable anatomy and in which it is not advisable to wait for the production of a custom-made device (CMD). The accumulated experience justifies the purpose of this review article, which aims to describe the deployment, some adjuvant techniques and some tips and tricks that may facilitate the learning curve in centers with less contact with this platform.

Conclusion: The use of off-the-shelf multi-branched stent grafts, such as Cook T-Branch®, is a safe and viable alternative for the treatment of ATA. The main advantage of this approach is its prompt accessibility. As we advance in the learning curve and new adjuvant techniques are acquired, their applicability is significantly increased, both in the urgent and elective context.

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References

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Published

2021-06-03

How to Cite

1.
Lopes AC, Melo RG, Amorim P, Sobrinho G, Fernandes e Fernandes R, Pedro LM. OFF-THE-SHELF COOK® T-BRANCH® BRANCHED ENDOPROSTHESIS DEPLOYMENT: TECHNICAL ASPECTS AND TIPS AND TRICKS. Angiol Cir Vasc [Internet]. 2021 Jun. 3 [cited 2024 Mar. 28];17(1):36-42. Available from: https://acvjournal.com/index.php/acv/article/view/353

Issue

Section

Review Article