Debranching Technique Implantation Steps - Gore Medical

Tips for Success• Limit organ ischemic time by suturing the proximalend / inflow of the branched GORE ® Hybrid Device first.• To minimize exposure, the nitinol reinforced section can beintroduced over the wire into the aortic branch artery.• Leave enough redundancy in the vascular graft branches tominimize the potential for kinking.• Compare the branched GORE ® Hybrid Device to the patientanatomy in situ to assist with graft geometry and lengths.• After suturing the proximal anastomosis, bleed each vasculargraft branch to minimize the introduction of air and to confirmblood flow through each vascular graft branch.• Insert at least 2.5 cm of the nitinol reinforced section into theartery using judgment to preserve important branch arteries.• Oversize the nitinol reinforced section for each branch arteryby 5–20%.• Place two longitudinal stay sutures through the artery wall andthe nitinol reinforced section.

W. L. Gore & Associates, Inc.Flagstaff, AZ 86004+65.67332882 (Asia Pacific)00800.6334.4673 (Europe)800.437.8181 (United States)928.779.2771 (United States)goremedical.comProducts listed may not be available in all markets.GORE ® , PERFORMANCE THROUGH INNOVATION, and designs are trademarks of W. L. Gore & Associates.© 2012 W. L. Gore & Associates, Inc. AQ0775-EN1 MARCH 2012