3.5.5 Delivery System Removal
Once the device has been released from the delivery system the remaining handle assembly must be removed
from the device. This is removed by gently pulling the handle proximally ensuring that the device is sufficiently
loose around the shaft to allow removal without disturbing the graft. If the delivery system was introduced around
a curve, as shown in Figure 15, it must be removed following the identical path in order to avoid moving the device
or causing trauma to the vessel.
Figure 15 – Delivery System Removal
SECTION 3.6 THORAFLEX™ HYBRID DEVICE ANASTOMOSES
Once the delivery system has been removed, the collar should be sutured to the native aortic vessel in order to
provide fixation and stability to the device. The exact technique used is at the discretion of the surgeon implanting
the device however a circumferential anastomosis is required to ensure that the implant is sealed correctly (Figure
16). The remaining anastomoses are now carried out.
Note: Some movement of the distal ring of the Thoraflex™ Hybrid Device may occur following re-perfusion of the
thoracic aorta.
Figure 16 – Thoraflex™ Hybrid Plexus 4 Device Anastomoses
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