Ugursay Kiziltepe

Dr.
  • Country: TR

Activities

Comment on Jan 01, 2021

Claudio Goto commented on presentation Surgeon Modified Fenestrated EVAR 2.0.

»Thank you very much for sharing your experience, nice case! I would like to ask some questions...which stitch did you use to fixate the marker? Which kind of stich is appropriate? What is the specification of the cautery that you used? Happy new year!«
Comment on Apr 12, 2020

Enrico Cieri replied to your comment on presentation Surgeon Modified Fenestrated EVAR 2.0.

»Thank you very much for your feedback and questions. We marked the fenestrations with the radiopaque tip of a 0.014'' wire stitched all around the graft holes, in that way is possible to check the position of the fenestrations and align the graft to the vessel ostia (the same we usually do with market available custom devices). A great aid is given by the use of the "fusion" technology. No overlapping markers were fixed to the graft. However, when re-constraining the graft, we marked the "zero" position on the delivery system to help with the correct orientation. We aligned the graft after partial deployment (given by the prolene constriction sutures) and when al target vessels have been cannulated the graft was completely deployed and constriction sutures were broken by ballooning. Regarding the last question, when the graft was still constrained into the delivery system we checked the correct orientation of the fenestrations for the CT and the SMA simply rotating the c-arm in the lateral position. Please take note that is crucial to deploy the graft step by step and according to the anatomical references, adjust the position of any fenestration.«
Comment on Apr 09, 2020

Ugursay Kiziltepe commented on presentation Surgeon modified Fenestrated EVAR: step by step procedure.

»congratulations its a great case and quite descriptive.. my question will be regarding the alignment of fenestrations to ostium of the renal artery? before deployment how do you make sure that the rotation of the stent graft is correct in order to have the fenestration is aligned to the renal artery? or do you align it after partial deployment? but I believe still there could be a margin of error, how do you prevent this ?«
Comment on Apr 09, 2020

Ugursay Kiziltepe commented on presentation Surgeon Modified Fenestrated EVAR 2.0.

»Congratulations on the great video... I benefited a lot. I have a question regarding the alignment of the surgeon modified endograft inside the aorta. How do you make sure that graft rotation is correct according to ostiums of visceral arteries? Do you use any overlapping markers that the graft is in the exact position? Do you align after partial deployment? How do you figure out that ostiums are front or rear? Thank you very much in advance Best. Dr. Ugursay Kiziltepe Ankara Turkey«
Comment on Dec 03, 2019

Gioele Simonte replied to your comment on presentation Surgeon modified Fenestrated EVAR: step by step procedure.

»Hello, the circumferential suture serves just for the same porpoise of the reducing tie in the CM Cook grafts. once the graft is deployed it prevents justaposition with the aortic wall so the surgeon is able to rotate the device and adjust height. once the introducer sheat is secured inside the target vessel, ballooning the graft leads to suture rupture with proximal sealing«