Teleproctoring of endovascular treatment of aortic diseases in times of pandemic and war

Figures

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  Figure 1. Surgical planning: schematic drawing of the endoprostheses to be used based on angiography analysis: A) Endovascular repair of the thoracic aorta (TEVAR) with a Braile Biomédica® DOMINUS® ENDOPROSTHESIS STENT-GRAFT and B) Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) with a Braile Biomédica® custom abdominal straight endoprosthesis + 2 Advanta V12® balloon-expandable covered stents for both common iliac arteries.

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  Figure 2. Testing connections and arrangement of telecommunication devices on the day of the surgical procedure.

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  Figure 3. Illustration of teleproctoring setup employed.

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  Figure 4. Implantation of the Braile Biomédica® DOMINUS® ENDOPROSTHESIS STENT-GRAFT with TP assistance to treat a thoracic aortic aneurysm.

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  Figure 5. Implantation of a Braile Biomédica® custom abdominal endoprosthesis to treat a penetrating abdominal aortic ulcer.

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  Figure 6. 3D reconstructed angiography demonstrating correct positioning of the endoprostheses and complete exclusion of the penetrating abdominal aortic ulcer with no leakage.