Hybrid graft suture less technique for visceral branches during open thoracoabdominal aortic aneurysm repair.

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Dr. Roberto Chiesa from Italy presented his experience in 61 renal arteries using the Gore hybrid graft today at the Veith Symposium The graft which I sketched above on my phone is their PTFE graft terminated in a Viabahn configuration. He reports a 10% acute renal failure rate and 90% primary patency in followup. This is something I’ve considered but never tried because the one extra anastomosis doesn’t add all that more time especially if a branched graft is used. Will revisit this concept.

Dr. Debus presented using this graft in a later talk for debranching visceral arteries in hybrid repair of TAAA.

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