caa a22 4500 477113036 CHVBK 20180405111615.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF01744507 doi (NATIONALLICENCE)springer-10.1007/BF01744507 Transcatheter Inoue endovascular graft for treatment of canine aortic dissection [Elektronische Daten] [Than Htay, Hisayoshi Fujiwara, Mitsuru Sato, Masaru Tanaka, Shigetake Sasayama, Kanji Inoue] Summary: We examined whether the Inoue endovascular graft could be used as a device for the treatment of aortic dissection. This graft consists of a cylinder made from a thin Dacron sheet suspended by several extra-flexible wire rings. Aortic dissections were experimentally created in 11 dogs. Using aortography and intravascular ultrasound imaging (IVUS), we selected the size of the graft diameter according to the diameter of the normal descending aorta (distal to aortic dissection) in 5 dogs (group I) and according to the diameter of the true lumen of the aorta within the aneurysm in 6 dogs (group II). The graft was deployed transfemorally through a 15-F long sheath into the aneurysm to close the entry site, immediately after creation of the aortic dissection. The entry was completely closed in all dogs after immediate implantation. All 5 dogs in group I died within 11 days (mean, 7 days) after graft deployment. However, all grafts in group II were tolerated very well and followed up for as long as 5 months. After the follow up, IVUS and aortography showed no rupture of the aortic aneurysmal wall and no migration, leakage, or damage to the graft in any of the 6 dogs. These 6 dogs were sacrificed and autopsy showed that the graft was covered by a thin, translucent, neointima, effectively recreating a new aortic lumen and completely closing the entry of the aneurysm. The Inoue endovascular graft proved to be effective in the long-term treatment of aortic dissection without surgery, when the size of the graft was selected according to the diameter of the true lumen of the aorta within the aneurysm. Springer-Verlag, 1996 Aortic dissection nationallicence Endovascular graft nationallicence Intravascular ultrasound nationallicence New device nationallicence Htay Than The Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University, 54 Shogoin, Sakyo-ku, 606, Kyoto, Japan aut Fujiwara Hisayoshi The Second Division, Department of Internal Medicine, Faculty of Medicine, Gifu University, Gifu, Japan aut Sato Mitsuru Department of Cardiovascular Surgery, Takeda Hospital, Shiokoji-Nishinotoin, Shimogyo-ku, 600, Kyoto, Japan aut Tanaka Masaru The Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University, 54 Shogoin, Sakyo-ku, 606, Kyoto, Japan aut Sasayama Shigetake The Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University, 54 Shogoin, Sakyo-ku, 606, Kyoto, Japan aut Inoue Kanji Department of Cardiovascular Surgery, Takeda Hospital, Shiokoji-Nishinotoin, Shimogyo-ku, 600, Kyoto, Japan aut Heart and Vessels Springer-Verlag 11/2(1996-03-01), 80-85 0910-8327 11:2<80 1996 11 380 https://doi.org/10.1007/BF01744507 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01744507 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Htay Than The Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University, 54 Shogoin, Sakyo-ku, 606, Kyoto, Japan aut NATIONALLICENCE 700 1- Fujiwara Hisayoshi The Second Division, Department of Internal Medicine, Faculty of Medicine, Gifu University, Gifu, Japan aut NATIONALLICENCE 700 1- Sato Mitsuru Department of Cardiovascular Surgery, Takeda Hospital, Shiokoji-Nishinotoin, Shimogyo-ku, 600, Kyoto, Japan aut NATIONALLICENCE 700 1- Tanaka Masaru The Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University, 54 Shogoin, Sakyo-ku, 606, Kyoto, Japan aut NATIONALLICENCE 700 1- Sasayama Shigetake The Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University, 54 Shogoin, Sakyo-ku, 606, Kyoto, Japan aut NATIONALLICENCE 700 1- Inoue Kanji Department of Cardiovascular Surgery, Takeda Hospital, Shiokoji-Nishinotoin, Shimogyo-ku, 600, Kyoto, Japan aut NATIONALLICENCE 773 0- Heart and Vessels Springer-Verlag 11/2(1996-03-01), 80-85 0910-8327 11:2<80 1996 11 380 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer