Work

Graft joint inflow strategy for visceral debranching in hybrid thoracoabdominal aortic aneurysm repair

Year: 2026

Type: article

Abstract: In hybrid thoracoabdominal aortic aneurysm repair, inflow selection is a critical determinant of visceral perfusion. Conventional limb-based inflow may result in unfavorable hemodynamics, whereas direct trunk inflow can compromise the distal landing zone for endovascular repair. We describe a graft joint inflow strategy for visceral debranching that uses the junction between the trunk and limbs of a bifurcated graft. This configuration relocates the inflow closer to the abdominal aortic axis while preserving landing zone flexibility. The technique is presented as an alternative inflow strategy in selected hybrid procedures.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2026.102262

Authors: Kazuhiro Ueno, Takashi Shuto, Takeshi Wada, Takayuki Kawashima, Shinji Miyamoto

Institution: Oita University

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250