Vascutek Thoraflex Hybrid Instrucciones De Uso página 11

Delivery System Removal
Once the device has been released from the system the remainder of the system must be removed from the
device. At this stage only the handle assembly remains and this can be removed by gently pulling the handle
proximally ensuring that the device is sufficiently loose around the shaft to allow removal without disturbing the
graft.
As shown in Figure 11, if the system is introduced around a curve it must be removed around that same curve to
avoid disruption to the graft or trauma to the vessel.
Figure 11– Delivery System Removal
6. Anastomoses
Once the delivery system is removed the collar should be sutured to the native aortic vessel to provide fixation
and stability of the implant. The exact nature is at the discretion of the surgeon implanting the device, but a
circumferential anastomosis is required to ensure that the implant is sealed correctly (Figure 12). The branches
and proximal anastomoses can now be carried out.
Note: Some movement of the distal ring of the hybrid prosthesis may occur following re-perfusion of the thoracic
aorta.
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